Individual
KATHERINE ELIZABETH BROTHERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3562 RIDGE PARK DR STE D1, FAIRLAWN, OH 44333-9294
(330) 664-1670
(330) 664-1675
Mailing address
3801 FAIRWAY PARK DR APT 209, COPLEY, OH 44321-2998
(614) 312-1573
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
024778
NY
363A00000X
Physician Assistant
Primary
50.006130RX
OH
Other
Enumeration date
03/06/2020
Last updated
01/21/2022
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