Doctor Name: | DEANA MARIE KEHRES |
NPI Number: | 1013154376 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CNS, AOCNS |
License Number: | COA09312 |
Business Practice Address: | 701 Tyler St Sandusky, OH - 448703321 |
Business Phone Number: | 4195576959 |
Business Fax Number: | 4195577533 |
Mailing Address: | 701 Tyler St, SANDUSKY |
State: | OH |
Postal Code: | 448703321 |
Phone Number: | 4195576959 |
Fax Number: | 4195577533 |
NPI Enumeration Date: | 01/08/2009 |
NPI Last Update Date: | 01/08/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SX0200X |
License Number: | COA09312 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Oncology |
Taxonomy Definition: |