Individual
KATHRYN MCGUINNESS PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 227-3361
Mailing address
730 W MARKET ST, LIMA, OH 45801-4602
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
010083
GA
208000000X
Pediatrics Physician
35146660
OH
208000000X
Pediatrics Physician
MD61413998
WA
208M00000X
Hospitalist Physician
Primary
35146660
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001557
—
OH
01
—
010083
AUGUSTA UNIVERSITY GRADUATE MEDICAL EDUCATION
GA
Enumeration date
06/20/2018
Last updated
07/28/2023
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