Individual
KATHLEEN TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
818 RIVERSIDE AVENUE, ADRIAN, MI 49221
(517) 265-0429
Mailing address
P.O. BOX 460, MAINEVILLE, OH 45039
(517) 265-0429
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
208944
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0784512
—
OH
05
—
200115050
—
IN
Enumeration date
08/10/2005
Last updated
05/20/2013
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