Provider Demographics
NPI:1740841410
Name:EICHER, KAY LINDA
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:LINDA
Last Name:EICHER
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 1:7244 EAGLEPOINT DR
Mailing Address - Street 2:
Mailing Address - City:NASHPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43830-9326
Mailing Address - Country:US
Mailing Address - Phone:740-683-3067
Mailing Address - Fax:
Practice Address - Street 1:7244 EAGLEPOINT DR
Practice Address - Street 2:
Practice Address - City:NASHPORT
Practice Address - State:OH
Practice Address - Zip Code:43830-9326
Practice Address - Country:US
Practice Address - Phone:740-683-3067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNP.024451363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN.315392OtherSTATE OF OHIO BOARD OF NURSING
OHAPRN.CNP.024451OtherSTATE OF OHIO BOARD OF NURSING