KATHRYN MAE SMALL

KETTERING, OH
NPI1194068361
Former NameKATHRYN MAE KOEBBE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OH  14097)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: OH  14097)
Enumeration Date2013-04-05
Last Update Date2020-11-20
Business Address
KATHRYN MAE SMALL ACNP
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6665
Mailing Address
KATHRYN MAE SMALL ACNP
3535 SOUTHERN BLVD
KETTERING, OH 45429-1221
Phone number: 937-395-6665