Merrill, Kathy Dawn

Merrill, Kathy Dawn is an sole proprietor health care provider with primary practice located at 2017 State Route 821 # B , Marietta OH 45750-5466. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Merrill, Kathy Dawn can be contacted via phone (740) 373-1944.

Contact Information

Primary practice address
2017 State Route 821 # B Marietta OH 45750-5466
Phone: (740) 373-1944
Fax: (740) 373-1910
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN334636 Ohio
Nursing Service Providers / Registered Nurse 163W00000X 75070 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA12818-NP Ohio

Profile Details

NPI number 1356623953
LBN Legal business name Merrill, Kathy Dawn
Credentials RN, FNP-BC, CDE
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2011
Last updated Oct 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356623953 NPPES
West Virginia MEDICAID 3810024552
West Virginia MEDICAID 0057359
West Virginia Other P01430427

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