Individual
KATELYN ELIZABETH KINKEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP, CPNP-PC
Contact information
Practice address
470 SILVER LN STE B, GAHANNA, OH 43230-4575
(614) 933-0980
(614) 933-0334
Mailing address
470 SILVER LN STE B, GAHANNA, OH 43230-4575
(614) 933-0980
(614) 933-0334
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0029671
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0458958
—
OH
Enumeration date
03/18/2021
Last updated
08/30/2022
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