Individual
KATHRYN RUTH COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1378 NEW HAVEN CT, BEAVERCREEK, OH 45434-6957
(937) 626-7034
Mailing address
1378 NEW HAVEN CT, BEAVERCREEK, OH 45434-6957
(937) 626-7034
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2904831
—
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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