Dalzell, Kathy A

Dalzell, Kathy A is an individual health care provider with primary practice located at 5319 Hoag Dr Ste 100, Sheffield Village OH 44035-1492. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Dalzell, Kathy A can be contacted via phone (440) 930-6040.

Contact Information

Primary practice address
5319 Hoag Dr Ste 100 Sheffield Village OH 44035-1492
Phone: (440) 930-6040
Fax: (440) 930-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP06612 Ohio

Profile Details

NPI number 1902866148
LBN Legal business name Dalzell, Kathy A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902866148 NPPES
Ohio MEDICAID 2291961

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