Provider Demographics
NPI:1578163861
Name:LEMLEY, KATHY
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:LEMLEY
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 1:30376 MURRAY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45760-9705
Mailing Address - Country:US
Mailing Address - Phone:740-992-0418
Mailing Address - Fax:
Practice Address - Street 1:30376 MURRAY HILL RD
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:OH
Practice Address - Zip Code:45760-9705
Practice Address - Country:US
Practice Address - Phone:740-992-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-27
Last Update Date:2020-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker