Individual
KATELYN ANN LEOPOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1740 N PERRY ST STE A, OTTAWA, OH 45875-1173
(419) 523-0012
(419) 523-3416
Mailing address
1740 N PERRY ST STE A, OTTAWA, OH 45875-1173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.096474
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0050083
—
OH
01
—
H011001
MEDICARE PIN
OH
Enumeration date
06/30/2008
Last updated
06/06/2022
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