Individual
KATHLEEN D. BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020628
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.020628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0225353
—
OH
Enumeration date
03/31/2017
Last updated
10/22/2018
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