Provider Demographics
NPI:1215389333
Name:SOWERS, KATHY E
Entity Type:Individual
Prefix:MS
First Name:KATHY
Middle Name:E
Last Name:SOWERS
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 1:5829 STOVERTOWN DR
Mailing Address - Street 2:
Mailing Address - City:PHILO
Mailing Address - State:OH
Mailing Address - Zip Code:43771-9745
Mailing Address - Country:US
Mailing Address - Phone:740-453-5564
Mailing Address - Fax:
Practice Address - Street 1:5829 STOVERTOWN DR
Practice Address - Street 2:
Practice Address - City:PHILO
Practice Address - State:OH
Practice Address - Zip Code:43771-9745
Practice Address - Country:US
Practice Address - Phone:740-453-5564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-13
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide