Provider Demographics
NPI:1649562117
Name:OWHOSO, CAROLINE
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:OWHOSO
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 1:774 STEVIES TRL.
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-8360
Mailing Address - Country:US
Mailing Address - Phone:859-356-2471
Mailing Address - Fax:
Practice Address - Street 1:774 STEVIES TRL.
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:KY
Practice Address - Zip Code:41051-8360
Practice Address - Country:US
Practice Address - Phone:859-356-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-03
Last Update Date:2011-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health