Individual
KATHY G MCCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4357 FERGUSON DR, STE. 210, CINCINNATI, OH 45245-1689
(513) 732-0100
(513) 732-9006
Mailing address
4685 FOREST AVE, STE C, CINCINNATI, OH 45212-3359
(513) 891-2813
(513) 793-1032
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NM-06637
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2290739
—
OH
01
—
42001730
RAILROAD MEDICARE
OH
Enumeration date
10/11/2006
Last updated
01/05/2018
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