Provider Demographics
NPI:1093479867
Name:KATHLEEN M GARRISON
Entity Type:Organization
Organization Name:KATHLEEN M GARRISON
Other - Org Name:K & J'S COMPLETE WOMAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMIHAL
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:412-835-5093
Mailing Address - Street 1:3901 WASHINGTON RD STE 302
Mailing Address - Street 2:
Mailing Address - City:MC MURRAY
Mailing Address - State:PA
Mailing Address - Zip Code:15317-2549
Mailing Address - Country:US
Mailing Address - Phone:412-835-5093
Mailing Address - Fax:
Practice Address - Street 1:665 CASTLE CREEK DRIVE EXT
Practice Address - Street 2:
Practice Address - City:SEVEN FIELDS
Practice Address - State:PA
Practice Address - Zip Code:16046-7872
Practice Address - Country:US
Practice Address - Phone:724-553-5826
Practice Address - Fax:724-591-5276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-27
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies