Individual
KATELYN LARGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4921 BOTTLEBRUSH DR, CANAL WINCHESTER, OH 43110-8588
(740) 438-9421
Mailing address
4921 BOTTLEBRUSH DR, CANAL WINCHESTER, OH 43110-8588
(740) 438-9421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
404952
OH
Other
Enumeration date
05/31/2017
Last updated
07/21/2022
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