Individual
MS. KATHRYN R GORMLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
856 E 220TH ST, EUCLID, OH 44119-1873
(440) 342-0542
Mailing address
856 E 220TH ST, EUCLID, OH 44119-1873
(440) 342-0542
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN 365142
OH
164W00000X
Licensed Practical Nurse
PN 117799
OH
Other
Enumeration date
01/17/2008
Last updated
03/17/2011
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