Individual
KATHLEEN M MONDEREWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
612 6TH AVE, HUNTINGTON, WV 25701-2104
(304) 525-4202
(304) 525-4231
Mailing address
119 BELLEFONTE DR, ASHLAND, KY 41101-2109
(606) 325-6967
(304) 525-4231
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
21708
WV
207Q00000X
Family Medicine Physician
36297
KY
207Q00000X
Family Medicine Physician
Primary
—
NC
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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