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Individual

KATHIE J YORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
4966 GLENWAY AVE, SUITE 3, CINCINNATI, OH 45238-3905
(513) 251-6600
(513) 251-6700
Mailing address
3339 S WOODMONT AVE, CINCINNATI, OH 45213-2011
(513) 351-1822
(513) 251-6700

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-286492
OH
363L00000X
Nurse Practitioner
Primary
NP-06803
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2403723
OH
01
NP 06803
OHIO NP LICENSE
OH
Enumeration date
03/09/2006
Last updated
03/05/2012
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