Individual
KATHERINE MARIE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3703 GROVEDALE PL APT 2, CINCINNATI, OH 45208-1108
(720) 840-0147
Mailing address
3703 GROVEDALE PL APT 2, CINCINNATI, OH 45208-1108
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.142306
OH
207P00000X
Emergency Medicine Physician
Primary
81557-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/29/2018
Last updated
08/20/2024
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