Individual
KATHLEEN NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10725 OLD POND DR, MONTGOMERY, OH 45249-3532
(513) 520-9639
Mailing address
11101 ALLENHURST BLVD E, CINCINNATI, OH 45241-6619
(513) 252-3853
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN.328998
OH
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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