Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | 35 091163 | OH |
NPI | 1174595631 |
---|---|
Provider Name | Katherine Kochenbach |
First Address | Steubenville, OH 43952-2667 |
Second Address | Steubenville, OH 43952-2372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 07/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H19864 | (02) | PA |