Willis, Kathryn Sue

Willis, Kathryn Sue is an individual health care provider with primary practice located at 3316 Percentum Rd Apt 311 , Toledo OH 43617-2141. She recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Attendant Care Provider, Nursing Service Related Providers / Homemaker, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Willis, Kathryn Sue can be contacted via phone (419) 283-3260.

Contact Information

Primary practice address
3316 Percentum Rd Apt 311 Toledo OH 43617-2141
Phone: (419) 283-3260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X 4808328 Ohio
Nursing Service Related Providers / Homemaker 376J00000X 4808328 Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X 4808328 Ohio

Profile Details

NPI number 1285249474
LBN Legal business name Willis, Kathryn Sue
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2020
Last updated Sep 15th, 2020 - about 6 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 1285249474 NPPES
Ohio Other 4808328 ODM
Ohio MEDICAID 013893 ODM

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