Most Relevant Information
Provider Data
| NPI Number: | 1003385048 |
| Provider Name: | KATHLEEN NOVAK RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WP0200X |
| Specialty: | Registered Nurse |
| License Number: | RN.328998 |
Most Important Dates
| Enumeration Date: | 11/20/2018 |
| Last Updated: | 11/20/2018 |
Provider Practice Location
10725 OLD POND DR
MONTGOMERY
OH
452493532
Practice Location Phone/Fax
| Phone: | 5135209639 |
| Fax: |
Provider Mailing Location
11101 ALLENHURST BLVD E
CINCINNATI
OH
452416619
Provider Mailing Phone/Fax
| Phone: | 5132523853 |
| Fax: |