Provider Demographics
NPI:1164130969
Name:MAGEE, KATHY MARIE (CNP)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:MARIE
Last Name:MAGEE
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 CLARK SHAW RD
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8568
Mailing Address - Country:US
Mailing Address - Phone:740-649-2577
Mailing Address - Fax:
Practice Address - Street 1:40 S FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-2307
Practice Address - Country:US
Practice Address - Phone:740-816-6955
Practice Address - Fax:740-869-3397
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN-CNP0030682363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily