Provider Demographics
NPI:1508161142
Name:DAHNWEIH, KATHY KEMAH
Entity Type:Individual
Prefix:MISS
First Name:KATHY
Middle Name:KEMAH
Last Name:DAHNWEIH
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 1:8129 PINEFIELD DR
Mailing Address - Street 2:
Mailing Address - City:ANTELOPE
Mailing Address - State:CA
Mailing Address - Zip Code:95843-4512
Mailing Address - Country:US
Mailing Address - Phone:630-440-6595
Mailing Address - Fax:
Practice Address - Street 1:8129 PINEFIELD DR
Practice Address - Street 2:
Practice Address - City:ANTELOPE
Practice Address - State:CA
Practice Address - Zip Code:95843-4512
Practice Address - Country:US
Practice Address - Phone:630-440-6595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA256389164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse