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Individual

KATHY O FERRIELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP, CNS, MS

Contact information

Practice address
98 MOSIER PKWY, BROOKVILLE, OH 45309-1750
(937) 833-4103
(937) 833-3147
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3188
(937) 223-9811

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
NP06989
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000912245
ANTHEM
OH
05
2335217
OH
Enumeration date
05/24/2006
Last updated
07/21/2022
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