| Kathleen A Alter M.d. | |
|
2960 Mack Rd Suite 210 Fairfield OH 45014-5373 | |
| (513) 860-2777 | |
| (513) 860-9507 |
| Full Name | Kathleen A Alter M.d. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2960 Mack Rd, Fairfield, Ohio |
| Authorized Official Name and Position | Kathleen Ann Alter (OWNER) |
| Authorized Official Contact | 5138602777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen A Alter M.d. 2960 Mack Rd Suite 210 Fairfield OH 45014-5373 Ph: (513) 860-2777 | Kathleen A Alter M.d. 2960 Mack Rd Suite 210 Fairfield OH 45014-5373 Ph: (513) 860-2777 |
| NPI Number | 1689858136 |
|---|---|
| Provider Enumeration Date | 12/19/2007 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689858136 | NPI | - | NPPES |
| 0631427 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 50765 (Ohio) | Primary |
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