Individual
KATHLEEN SARAH DERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
425 W GRAND AVE STE 2002, DAYTON, OH 45405-4722
(937) 425-4144
(937) 425-4146
Mailing address
1 PRESTIGE PL STE 550, MIAMISBURG, OH 45342-6115
(937) 762-1310
(937) 522-8068
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.006351RX
OH
Other
Enumeration date
02/03/2020
Last updated
10/04/2022
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