Individual
MRS. KATHIE IRENE GENGLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3130 N DIXIE HWY, TROY, OH 45373-1337
(614) 459-7830
(614) 459-7824
Mailing address
3366 RIVERSIDE DRIVE, SUITE 200, COLUMBUS, OH 43221
(614) 459-7830
(614) 459-7824
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN220335
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000286044
ANTHEM PROVIDER #
OH
05
—
2034079
—
OH
Enumeration date
04/27/2006
Last updated
07/08/2007
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