Individual
MS. KATHLEEN ANN SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1401 ROOSEVELT AVE, YORK, PA 17404-2244
(717) 566-2503
(717) 553-1269
Mailing address
3203 MIDDLE RD, COLUMBUS, IN 47203-4427
(812) 373-2700
(812) 373-2710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71000664
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
SP029609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012302P
SIHO INSURANCE
IN
05
—
200249860
—
IN
Enumeration date
07/14/2005
Last updated
11/03/2025
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