Provider Demographics
NPI:1316402175
Name:KATHMANN, LINDSEY (BSN, RN)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KATHMANN
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4143 NETTLETON PT
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45430-2307
Mailing Address - Country:US
Mailing Address - Phone:937-716-7525
Mailing Address - Fax:
Practice Address - Street 1:2660 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6416
Practice Address - Country:US
Practice Address - Phone:937-458-2366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.351017163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool