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Individual

KATHLEEN BURNS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6795 WINCHESTER CROSSING BLVD, CANAL WINCHESTER, OH 43110-8589
(614) 400-6401
Mailing address
6795 WINCHESTER CROSSING BLVD, CANAL WINCHESTER, OH 43110-8589
(614) 400-6401

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
376K00000X
Nurse's Aide
402025051217
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0326591
OH
Enumeration date
01/26/2021
Last updated
01/26/2021
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