Individual
MISS KATELYN ELIZABETH SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7910 BEECHMONT AVE, CINCINNATI, OH 45255-4210
(513) 232-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
10003578A
IN
363A00000X
Physician Assistant
Primary
50.006384RX
OH
363A00000X
Physician Assistant
PA2952
KY
Other
Enumeration date
11/11/2015
Last updated
01/19/2024
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