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Individual

KATHERINE A WALTERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
3825 EDWARDS RD, SUITE 300, CINCINNATI, OH 45209-1287
(513) 221-1100
(513) 569-5297
Mailing address
PO BOX 643398, CINCINNATI, OH 45264-3398
(513) 221-1100
(513) 569-5297

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
50.003468
OH
363AM0700X
Medical Physician Assistant
50.003468
OH
363AS0400X
Surgical Physician Assistant
Primary
50.003468
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080730
OH
05
7100243770
KY
01
P01703050
RAILROAD MEDICARE
OH
Enumeration date
02/07/2011
Last updated
10/26/2016
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