Healthcare Provider Details

I. General information

NPI: 1780501411
Provider Name (Legal Business Name): KATHLEEN MARIE RHODES CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3473 SR 546
LEXINGTON OH
44904-9765
US

IV. Provider business mailing address

3473 SR 546
LEXINGTON OH
44904-9765
US

V. Phone/Fax

Practice location:
  • Phone: 419-631-7533
  • Fax:
Mailing address:
  • Phone: 419-631-7533
  • Fax: 419-631-7533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN.CNP.0042391
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: