Provider Demographics
NPI:1801483342
Name:DENLINGER, KATELYN RENAE
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:RENAE
Last Name:DENLINGER
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 1:10804 N COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45309-9618
Mailing Address - Country:US
Mailing Address - Phone:937-564-4884
Mailing Address - Fax:
Practice Address - Street 1:10804 N COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:BROOKVILLE
Practice Address - State:OH
Practice Address - Zip Code:45309-9618
Practice Address - Country:US
Practice Address - Phone:937-564-4884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide