Provider Demographics
NPI:1255315982
Name:SEAMAN, KATHY A (CRNA)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:A
Last Name:SEAMAN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WHITETAIL DR.
Mailing Address - Street 2:
Mailing Address - City:ROBESONIA
Mailing Address - State:PA
Mailing Address - Zip Code:19551
Mailing Address - Country:US
Mailing Address - Phone:610-693-6301
Mailing Address - Fax:
Practice Address - Street 1:6 WHITETAIL DR
Practice Address - Street 2:
Practice Address - City:ROBESONIA
Practice Address - State:PA
Practice Address - Zip Code:19551-9560
Practice Address - Country:US
Practice Address - Phone:610-693-6301
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN205506L367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered