Provider Demographics
NPI:1417550393
Name:LEHMAN-MASH, KAYCEE
Entity Type:Individual
Prefix:
First Name:KAYCEE
Middle Name:
Last Name:LEHMAN-MASH
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 1:590 POPLAR ST APT A
Mailing Address - Street 2:
Mailing Address - City:NELSONVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45764-1418
Mailing Address - Country:US
Mailing Address - Phone:740-856-9426
Mailing Address - Fax:
Practice Address - Street 1:590 POPLAR ST APT A
Practice Address - Street 2:
Practice Address - City:NELSONVILLE
Practice Address - State:OH
Practice Address - Zip Code:45764-1418
Practice Address - Country:US
Practice Address - Phone:740-856-9426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child