Provider Demographics
NPI:1497533095
Name:MCAVOY, KARLEE LYNNE
Entity Type:Individual
Prefix:
First Name:KARLEE
Middle Name:LYNNE
Last Name:MCAVOY
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 1:63 SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:OH
Mailing Address - Zip Code:44837-1039
Mailing Address - Country:US
Mailing Address - Phone:419-554-8019
Mailing Address - Fax:
Practice Address - Street 1:63 SEMINARY ST
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:OH
Practice Address - Zip Code:44837-1039
Practice Address - Country:US
Practice Address - Phone:419-554-8019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-15
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)