Provider Demographics
NPI:1417135542
Name:SROUFE, KATHRYN L (RN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:L
Last Name:SROUFE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1074 MEADOWIND CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4607
Mailing Address - Country:US
Mailing Address - Phone:513-702-0921
Mailing Address - Fax:
Practice Address - Street 1:1074 MEADOWIND CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4607
Practice Address - Country:US
Practice Address - Phone:513-702-0921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-31
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH115025163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health