Provider Demographics
NPI:1891024998
Name:KAHYAOGLU, FETHI DOGAN II (SEVIM AYKITALP)
Entity Type:Individual
Prefix:
First Name:FETHI
Middle Name:DOGAN
Last Name:KAHYAOGLU
Suffix:II
Gender:M
Credentials:SEVIM AYKITALP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4116 CRARY DR
Mailing Address - Street 2:4116 CRARY DRIVE
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3612
Mailing Address - Country:US
Mailing Address - Phone:419-378-1362
Mailing Address - Fax:
Practice Address - Street 1:4116 CRARY DR
Practice Address - Street 2:4116 CRARY DRIVE
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3612
Practice Address - Country:US
Practice Address - Phone:419-378-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-18
Last Update Date:2009-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHTA355806164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse