Provider Demographics
NPI:1144835372
Name:AMES-OOTEN, KATHLEEN QUINLAN
Entity type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:QUINLAN
Last Name:AMES-OOTEN
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 1:41 WORTHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45215-4337
Mailing Address - Country:US
Mailing Address - Phone:513-309-4505
Mailing Address - Fax:
Practice Address - Street 1:41 WORTHINGTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45215-4337
Practice Address - Country:US
Practice Address - Phone:513-309-4505
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care