Provider Demographics
NPI:1073768776
Name:APOLLON-FERRON, KATHLEEN CLAUVEL (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:CLAUVEL
Last Name:APOLLON-FERRON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:CLAUVEL
Other - Last Name:APOLLON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2250 HICKORY RD STE 250
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MTNG
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2250 HICKORY RD STE 250
Practice Address - Street 2:
Practice Address - City:PLYMOUTH MTNG
Practice Address - State:PA
Practice Address - Zip Code:19462-1047
Practice Address - Country:US
Practice Address - Phone:610-834-1122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2008-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN590747163W00000X, 163WC0200X, 163WM0705X, 163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163WP0200XNursing Service ProvidersRegistered NursePediatrics