Individual
MS. KORY LYNN EHRENFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-5000
Mailing address
3300 MERCY HEALTH BLVD, CINCINNATI, OH 45211-1103
(513) 215-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.003976
OH
363A00000X
Physician Assistant
PA1777
KY
363A00000X
Physician Assistant
TC159
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076822
—
OH
05
—
7100230540
—
KY
Enumeration date
11/08/2012
Last updated
12/30/2016
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