Provider Demographics
NPI:1497189344
Name:BLOWERS, KATHRYN LUCILLE (RN)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:LUCILLE
Last Name:BLOWERS
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 1:239 CAYUGA ST
Mailing Address - Street 2:
Mailing Address - City:UNION SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:13160-3107
Mailing Address - Country:US
Mailing Address - Phone:315-889-4110
Mailing Address - Fax:315-889-4133
Practice Address - Street 1:239 CAYUGA ST
Practice Address - Street 2:
Practice Address - City:UNION SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:13160-3107
Practice Address - Country:US
Practice Address - Phone:315-889-4110
Practice Address - Fax:315-889-4133
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY502771163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool