Provider Demographics
NPI:1326562117
Name:KATHLEENCADMUS LLC
Entity Type:Organization
Organization Name:KATHLEENCADMUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED PRACTICE NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ENGLISH
Authorized Official - Last Name:CADMUS
Authorized Official - Suffix:
Authorized Official - Credentials:ANP, CNS
Authorized Official - Phone:614-589-7171
Mailing Address - Street 1:4589 KENNY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2778
Mailing Address - Country:US
Mailing Address - Phone:614-589-7171
Mailing Address - Fax:
Practice Address - Street 1:4589 KENNY RD STE 101B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2778
Practice Address - Country:US
Practice Address - Phone:614-723-9122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health