Individual
KATHERINE ANNE LONGSDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2111 CLAREMONT AVE, ASHLAND, OH 44805-3547
(419) 281-5575
(419) 289-1677
Mailing address
2111 CLAREMONT AVE, ASHLAND, OH 44805-3547
(419) 281-5575
(419) 289-1677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
350-82781-L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445349
—
OH
Enumeration date
06/23/2005
Last updated
11/06/2020
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