Individual
KATHIE VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8777 COUNTY HIGHWAY 97, WHARTON, OH 43359-9788
(419) 310-9675
Mailing address
8777 COUNTY HIGHWAY 97, WHARTON, OH 43359-9788
(419) 310-9675
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
8800524
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0183708
—
OH
05
—
104392013999
—
OH
Enumeration date
12/29/2020
Last updated
12/29/2020
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