Individual
KATHERINE H BENTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1522 CLAREMONT AVE, ASHLAND, OH 44805-3533
(419) 207-1085
(419) 207-0607
Mailing address
1522 CLAREMONT AVE, ASHLAND, OH 44805-3533
(419) 207-1085
(419) 207-0607
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35-060311
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0879198
—
OH
Enumeration date
07/12/2006
Last updated
02/25/2011
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