Individual
KATHERINE SUZANNE DE LA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1745 E STROOP RD, KETTERING, OH 45429-5039
(937) 281-6340
(937) 281-6342
Mailing address
1745 E STROOP RD, KETTERING, OH 45429-5039
(937) 281-6340
(937) 281-6342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.014407
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231602
—
OH
Enumeration date
03/27/2017
Last updated
08/22/2024
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