MEDICARE: MRS. KARA LYNN RAMSEY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.356071	OH

General Provider Information

NPI Number	:	1114429271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KARA LYNN RAMSEY RN

Provider Business Mailing Address
First Line	:	21330 COUNTY ROAD 230
Second Line	:
City	:	MOUNT VICTORY
State	:	OH
Zip	:	43340-9714
Country	:	US
Telephone Number	:	567-674-0358
Fax Number	:

Provider Business Practice Location Address
First Line	:	21330 COUNTY ROAD 230
Second Line	:
City	:	MOUNT VICTORY
State	:	OH
Zip	:	43340-9714
Country	:	US
Telephone Number	:	567-674-0358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2018
Last Update Date	:	03/05/2018

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