Provider Demographics
NPI:1497362701
Name:DOYON, KATHY JO (INDEPENDENT PROVIDER)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:JO
Last Name:DOYON
Suffix:
Gender:F
Credentials:INDEPENDENT PROVIDER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7812 MAIN RD.
Mailing Address - Street 2:
Mailing Address - City:BERLIN HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44814
Mailing Address - Country:US
Mailing Address - Phone:419-588-3144
Mailing Address - Fax:
Practice Address - Street 1:7812 MAIN RD.
Practice Address - Street 2:
Practice Address - City:BERLIN HTS
Practice Address - State:OH
Practice Address - Zip Code:44814
Practice Address - Country:US
Practice Address - Phone:419-588-3144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH28256106253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care