Individual
KATHLEEN S SELHORST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 E MAIN ST, SUITE A, LEIPSIC, OH 45856-9326
(419) 943-2130
(419) 943-2146
Mailing address
901 E MAIN ST, SUITE A, LEIPSIC, OH 45856-9326
(419) 943-2130
(419) 943-2146
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN-229364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000518813
ANTHEM BC/BS
OH
05
—
2464033
—
OH
01
—
P00430695
RAILROAD CARE
OH
Enumeration date
11/21/2005
Last updated
08/05/2013
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