Small, Kathryn Mae

Small, Kathryn Mae is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Small, Kathryn Mae can be contacted via phone (937) 395-6665.

Contact Information

Primary practice address
3535 Southern Blvd Kettering OH 45429-1221
Phone: (937) 395-6665
Fax: (937) 395-6668
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 14097 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 14097 Ohio

Profile Details

NPI number 1194068361
LBN Legal business name Small, Kathryn Mae
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2013
Last updated Nov 20th, 2020 - about 6 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 1194068361 NPPES
Ohio MEDICAID 0082730
Ohio MEDICAID 201199110

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