Provider Demographics
NPI:1033595673
Name:ADDY, KADI LEPI (WHNP-BC)
Entity Type:Individual
Prefix:
First Name:KADI
Middle Name:LEPI
Last Name:ADDY
Suffix:
Gender:F
Credentials:WHNP-BC
Other - Prefix:
Other - First Name:KADI
Other - Middle Name:E
Other - Last Name:LEPI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:716 ADAIR AVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-2836
Mailing Address - Country:US
Mailing Address - Phone:740-891-9000
Mailing Address - Fax:740-891-9001
Practice Address - Street 1:1330 CLARK ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:OH
Practice Address - Zip Code:43725-9614
Practice Address - Country:US
Practice Address - Phone:740-421-9530
Practice Address - Fax:740-421-9531
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2017-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRNCNP17918363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0142341Medicaid