Individual
MRS. CATHERINE A DEFOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7300 TURFWAY ROAD, FLORENCE, KY 41042-4895
(859) 212-5025
(859) 212-4432
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-5025
(859) 212-4432
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35079403D
OH
208000000X
Pediatrics Physician
Primary
36455
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052768
—
OH
01
—
50024405
PASSPORT MEDICAID
KY
05
—
64035819
—
KY
Enumeration date
02/10/2006
Last updated
05/23/2024
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