Individual
MRS. KATHLEEN HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
149 E SIMPSON ST, ALLIANCE, OH 44601-4219
(330) 823-3856
(330) 829-6688
Mailing address
PO BOX 932100, CLEVELAND, OH 44193-0008
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA.13978-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0092719
—
OH
Enumeration date
10/09/2012
Last updated
12/09/2013
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