Individual
KATHLEEN C HAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
290 E TOWN ST, COLUMBUS, OH 43215-4602
(614) 788-5400
(614) 788-5500
Mailing address
290 E TOWN ST, COLUMBUS, OH 43215-4602
(614) 788-5400
(614) 788-5500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
012828
OH
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
34.012828
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0197356
—
OH
01
—
H494630
MEDICARE
OH
01
—
P01927635
RAILROAD MEDICARE
—
Enumeration date
06/11/2013
Last updated
01/25/2022
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