Individual
KATHERINE MARY MANOCCHIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3131 QUEEN CITY AVE, CINCINNATI, OH 45238-2316
(513) 389-5000
(937) 619-4150
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50-004016
OH
363A00000X
Physician Assistant
Primary
50.004016RX
OH
Other
Enumeration date
04/04/2014
Last updated
05/05/2021
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