MISS Kathleen Lucile Main, LPN
NPI #1235434606 in Bainbridge, Ohio
Provider Information
- NPI Number
- 1235434606
- Entity Type
- Individual
- Name
- MISS Kathleen Lucile Main, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Jan 17, 2011
- Last Updated
- Jan 17, 2011
Practice Location
- Address
- 340 DRAHER LN
- City
- Bainbridge
- State
- Ohio
- ZIP Code
- 45612-9445
- Phone
- (937) 981-3850
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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