Healthcare Provider Details

I. General information

NPI: 1134402571
Provider Name (Legal Business Name): KATHLEEN MARY ROMANO R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2011
Last Update Date: 09/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8087 CINCINNATI DAYTON RD SUITE B
WEST CHESTER OH
45069-2003
US

IV. Provider business mailing address

8087 CINCINNATI DAYTON RD SUITE B
WEST CHESTER OH
45069-2003
US

V. Phone/Fax

Practice location:
  • Phone: 513-777-8111
  • Fax:
Mailing address:
  • Phone: 513-777-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License NumberRN . 203013
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: