Provider Demographics
NPI:1861793978
Name:HOUTS, KATHRYN JEAN (LPN)
Entity type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JEAN
Last Name:HOUTS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 ZILLAH ST
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-2050
Mailing Address - Country:US
Mailing Address - Phone:419-733-0746
Mailing Address - Fax:
Practice Address - Street 1:218 ZILLAH ST
Practice Address - Street 2:
Practice Address - City:CELINA
Practice Address - State:OH
Practice Address - Zip Code:45822-2050
Practice Address - Country:US
Practice Address - Phone:419-733-0746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-04
Last Update Date:2010-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN112813164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse