Provider Demographics
NPI:1275390239
Name:MONK, KATIE (LPN)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:
Last Name:MONK
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:
Other - Last Name:MONK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7098 CAMP RD
Mailing Address - Street 2:
Mailing Address - City:HOMERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44235-9742
Mailing Address - Country:US
Mailing Address - Phone:330-880-7071
Mailing Address - Fax:
Practice Address - Street 1:7098 CAMP RD
Practice Address - Street 2:
Practice Address - City:HOMERVILLE
Practice Address - State:OH
Practice Address - Zip Code:44235-9742
Practice Address - Country:US
Practice Address - Phone:330-880-7071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty