Cathy E Liesner
Gynecologist
3533 Southern Blvd Ste 4600
Kettering
, Ohio 45449-1273
Cathy E Liesner
Gynecologist
3533 Southern Blvd Ste 4600
Kettering
, Ohio 45449-1273
(937) 297-2330
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Cathy E Liesner
- 3533 Southern Blvd Ste 4600
- Kettering, OH
- Zip : 45449-1273
- Fax : (937) 297-2330
- Phone : (937) 296-0167
Second Address
- Cathy E Liesner
- 3533 Southern Blvd Ste 4600
- Kettering, OH
- Zip : 45449-1273
- Fax : (937) 297-2330
- Phone : (937) 296-0167
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 35051994L | OH |
National Provider Identifier
| NPI | 1104883537 |
|---|---|
| Provider Name | Cathy E Liesner |
| First Address | Kettering, OH 45449-1273 |
| Second Address | Kettering, OH 45449-1273 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/04/2006 |
| Last Update Date | 20/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000000009392 | ANTHEM PIN (01) | |
| 0589144 | (05) | OH |
| A82536 | (02) | |
| BL0401466 | DEA (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.