Individual
KATHLEEN D SPRAGUE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1350 E MARKET ST, WARREN, OH 44483-6608
(330) 841-9230
(330) 841-9571
Mailing address
3622 BELMONT AVE, SUITE 1, YOUNGSTOWN, OH 44505-1450
(330) 759-9350
(330) 759-9387
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN111618
OH
367500000X
Certified Registered Nurse Anesthetist
RN344973L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0847669
—
OH
Enumeration date
05/26/2006
Last updated
07/08/2007
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