Basic Information
Provider Information
NPI: 1528334653
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KEARNS-STRAWSER
FirstName: RONDA
MiddleName: LEE
NamePrefix:  
NameSuffix:  
Credential: CNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 455 SHAWNEE LN
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456014145
CountryCode: US
TelephoneNumber: 7407794865
FaxNumber: 7407794898
Practice Location
Address1: 455 SHAWNEE LN
Address2:  
City: CHILLICOTHE
State: OH
PostalCode: 456014145
CountryCode: US
TelephoneNumber: 7407794865
FaxNumber: 7407794898
Other Information
ProviderEnumerationDate: 03/22/2012
LastUpdateDate: 03/22/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XCOA.13225-NPOHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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