Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35130214 | OH |
N | 111NI0900X | Internist | 35130214 | OH |
Y | 207RA0401X | Internist - Addiction Medicine | 35.130214 | OH |
NPI | 1619266582 |
---|---|
Provider Name | Dr. Kate Fleming Berenson |
First Address | Columbus, OH 43215-4701 |
Second Address | Columbus, OH 43215-4602 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2011 |
Last Update Date | 25/03/2020 |