Individual
DR. KATHLEEN RAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
(513) 862-4980
Mailing address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-1400
(513) 862-4980
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
35.129855
OH
208600000X
Surgery Physician
Primary
35.129855
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/19/2011
Last updated
04/08/2024
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