Provider Demographics
NPI:1275350597
Name:KEATON-CATHEL, CASEY ROSE
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:ROSE
Last Name:KEATON-CATHEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 S WATER ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43164-9642
Mailing Address - Country:US
Mailing Address - Phone:740-656-3466
Mailing Address - Fax:
Practice Address - Street 1:639 S WATER ST
Practice Address - Street 2:
Practice Address - City:WILLIAMSPORT
Practice Address - State:OH
Practice Address - Zip Code:43164-9642
Practice Address - Country:US
Practice Address - Phone:740-656-3466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker