Individual
MRS. KATELYN ELLEN STECHSCHULTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1550 YANKEE PARK PL, DAYTON, OH 45458-1868
(937) 439-4949
Mailing address
1550 YANKEE PARK PL, DAYTON, OH 45458-1868
(937) 439-4949
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.415162
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.024011
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0341058
—
OH
Enumeration date
02/05/2019
Last updated
03/29/2020
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