| Doctor Name: | MRS. KATHLEEN HATHAWAY |
| NPI Number: | 1093067423 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CNP |
| License Number: | COA.13978-NP |
| Business Practice Address: | 149 E Simpson St Alliance, OH - 446014219 |
| Business Phone Number: | 3308233856 |
| Business Fax Number: | 3308296688 |
| Mailing Address: | Po Box 932100, CLEVELAND |
| State: | OH |
| Postal Code: | 441930008 |
| Phone Number: | 2164722730 |
| Fax Number: | 2164722740 |
| NPI Enumeration Date: | 10/09/2012 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | COA.13978-NP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |