Individual
KATHLEEN KEARNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WYOMING ST, DAYTON, OH 45409-2722
(937) 208-8000
Mailing address
1 WYOMING ST, DAYTON, OH 45409-2722
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
344039
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0141707
—
OH
Enumeration date
06/17/2015
Last updated
03/30/2020
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