Provider Demographics
NPI:1073797585
Name:AHOY, KATHERINE L (CNS, RN, PHN)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:L
Last Name:AHOY
Suffix:
Gender:F
Credentials:CNS, RN, PHN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2647 INTERNATIONAL BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-1562
Mailing Address - Country:US
Mailing Address - Phone:510-434-7619
Mailing Address - Fax:510-434-7908
Practice Address - Street 1:2647 INTERNATIONAL BLVD STE 600
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94601-1562
Practice Address - Country:US
Practice Address - Phone:510-434-7619
Practice Address - Fax:510-434-7908
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN 244305163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health