Provider Demographics
NPI:1275243180
Name:ZURCHER, KATHLYN SUE
Entity Type:Individual
Prefix:
First Name:KATHLYN
Middle Name:SUE
Last Name:ZURCHER
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 1:7512 BOLTZ ORCHARD RD SW
Mailing Address - Street 2:
Mailing Address - City:STONE CREEK
Mailing Address - State:OH
Mailing Address - Zip Code:43840-9416
Mailing Address - Country:US
Mailing Address - Phone:330-204-2885
Mailing Address - Fax:
Practice Address - Street 1:7512 BOLTZ ORCHARD RD SW
Practice Address - Street 2:
Practice Address - City:STONE CREEK
Practice Address - State:OH
Practice Address - Zip Code:43840-9416
Practice Address - Country:US
Practice Address - Phone:330-204-2885
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN105059164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse