Provider Demographics
NPI:1205391521
Name:RHODES, KATHRYN MAY
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MAY
Last Name:RHODES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12335 AMISH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT PERRY
Mailing Address - State:OH
Mailing Address - Zip Code:43760-9719
Mailing Address - Country:US
Mailing Address - Phone:740-408-0609
Mailing Address - Fax:
Practice Address - Street 1:12335 AMISH RIDGE RD
Practice Address - Street 2:
Practice Address - City:MOUNT PERRY
Practice Address - State:OH
Practice Address - Zip Code:43760-9719
Practice Address - Country:US
Practice Address - Phone:740-408-0609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator