Individual
KAITLIN ELIZABETH LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
604 W NORTH AVE, ADA, OH 45810-1041
(419) 634-0431
Mailing address
604 W NORTH AVE, ADA, OH 45810-1041
(419) 634-0431
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014567
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2018
Last updated
06/24/2021
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