Healthcare Provider Details

I. General information

NPI: 1932698404
Provider Name (Legal Business Name): KATELYN CHRISTINE PEER-HAHN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2018
Last Update Date: 05/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 COLLINGWOOD BLVD
TOLEDO OH
43610-1173
US

IV. Provider business mailing address

1012 W COLLEGE AVE
WOODVILLE OH
43469-1034
US

V. Phone/Fax

Practice location:
  • Phone: 419-255-9585
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberRN.438341
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: