Individual
KATHERINE A. WITHERINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2355 POPLAR LEVEL RD, G-1, #11, LOUISVILLE, KY 40217-1384
(502) 636-8121
(502) 636-8128
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16816
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350823
ANTHEM FOR NCMA
KY
01
—
000014952T
HUMANA FOR NCMA
KY
01
—
048237
SIHO FOR NCMA
KY
01
—
1184338
CHA / NCMA
KY
01
—
2446867000
PAD FOR NCMA
KY
01
—
4184997
CIGNA / NCMA
KY
01
—
50005563
PASSPORT FOR NCMA
KY
05
—
64168164
—
KY
01
—
P00181596
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
05/30/2019
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