Individual
KATHERINE HENDERSON HAROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
405 W GRAND AVE, DAYTON, OH 45405-4720
(937) 723-3248
Mailing address
4440 ACKERMAN BLVD, KETTERING, OH 45429-5502
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
79921
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2014
Last updated
03/22/2018
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