Provider Demographics
NPI:1750628368
Name:DAILY, KATHRYN MARIE (LPN)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:MARIE
Last Name:DAILY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:MUSHISKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPN
Mailing Address - Street 1:398 E HOPOCAN AVE
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-3042
Mailing Address - Country:US
Mailing Address - Phone:330-690-3339
Mailing Address - Fax:
Practice Address - Street 1:398 E HOPOCAN AVE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3042
Practice Address - Country:US
Practice Address - Phone:330-690-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 133244-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse