Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 35-074539 | OH |
NPI | 1790702603 |
---|---|
Provider Name | Katherine M Dell |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2006 |
Last Update Date | 24/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000027964 | ANTHEM (01) | OH |
000000221426 | UNISON (01) | OH |
000000525903 | ANTHEM (01) | OH |
0211376 | AETNA (01) | OH |
2070315 | (05) | OH |
2070315 | BCMH (01) | OH |
363474 | WELLCARE (01) | OH |
734642 | BUCKEYE (01) | OH |
G78556 | (02) | OH |