Provider Demographics
NPI:1467052050
Name:HOWITT, KATHRYN MOOERS
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:MOOERS
Last Name:HOWITT
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 1:374 WOODLAWN RESERVE RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-3959
Mailing Address - Country:US
Mailing Address - Phone:330-472-2498
Mailing Address - Fax:
Practice Address - Street 1:374 WOODLAWN RESERVE RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-3959
Practice Address - Country:US
Practice Address - Phone:330-472-2498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-01
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH347E00000X, 374U00000X
OH7714129320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No347E00000XTransportation ServicesTransportation Broker
No374U00000XNursing Service Related ProvidersHome Health Aide