Provider Demographics
NPI:1043056336
Name:HEMBREE, KATELYNN MARIE
Entity type:Individual
Prefix:
First Name:KATELYNN
Middle Name:MARIE
Last Name:HEMBREE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10564 SARATOGA ST
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:OH
Mailing Address - Zip Code:45122-9669
Mailing Address - Country:US
Mailing Address - Phone:513-415-5255
Mailing Address - Fax:
Practice Address - Street 1:10564 SARATOGA ST
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:OH
Practice Address - Zip Code:45122-9669
Practice Address - Country:US
Practice Address - Phone:513-415-5255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide