Provider Demographics
NPI:1811933112
Name:SAYLOR, KATHY (CRNP)
Entity type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:SAYLOR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 N 17TH ST
Mailing Address - Street 2:SUITE 307
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-5034
Mailing Address - Country:US
Mailing Address - Phone:610-434-2162
Mailing Address - Fax:610-434-9370
Practice Address - Street 1:401 N 17TH ST
Practice Address - Street 2:SUITE 307
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-5034
Practice Address - Country:US
Practice Address - Phone:610-434-2162
Practice Address - Fax:610-434-9370
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATP003723N363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
50000877OtherCAPITAL BLUE CROSS
5281620OtherAETNA PPO POS