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Organization

KATHRYN A WEICHERT MD, INC

Active
Parent organization
KATHRYN A WEICHERT MD, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
KATHRYN A WEICHERT MD, INC.
Authorized official
MRS. BARBARA A TEISL (ACCOUNT ADMINISTRATOR)
(513) 651-9660
Entity
Organization

Contact information

Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 651-9660
(513) 241-2962
Mailing address
6463 TAYLOR MILL RD, INDEPENDENCE, KY 41051-9392
(513) 651-9660
(513) 241-2962

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35035158
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0287676
OH
Enumeration date
05/22/2008
Last updated
05/29/2008
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