Individual
KATHLEEN A. ALTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2960 MACK RD, SUITE 210, FAIRFIELD, OH 45014-5373
(513) 860-2777
(513) 860-9507
Mailing address
2960 MACK RD, SUITE 210, FAIRFIELD, OH 45014-5373
(513) 860-2777
(513) 860-9507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-05-0765
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0631427
—
OH
Enumeration date
07/10/2006
Last updated
02/13/2008
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