Individual
KATHERINE LIVESAY BROERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6010 S MASON MONTGOMERY RD, MASON, OH 45040-3706
(513) 246-7000
(513) 204-6355
Mailing address
4685 FOREST AVE STE C, CINCINNATI, OH 45212-3359
(513) 246-7000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.125398
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35.125398
OHIO LICENSE
OH
Enumeration date
03/26/2012
Last updated
06/11/2015
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