Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 35798 | KY |
N | 207VX0000X | Obstetrician | 35798 | KY |
NPI | 1003808130 |
---|---|
Provider Name | Dr. Catherine Renee Case |
First Address | Chicago, IL 60677-6351 |
Second Address | Louisville, KY 40207-4730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2005 |
Last Update Date | 01/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
64082522 | (05) | KY |
H85975 | (02) |