Healthcare Provider Details

I. General information

NPI: 1881019297
Provider Name (Legal Business Name): KAREN BARTH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2014
Last Update Date: 02/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7560 FOREST RD
CINCINNATI OH
45255-4307
US

IV. Provider business mailing address

7560 FOREST RD
CINCINNATI OH
45255-4307
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-2772
  • Fax:
Mailing address:
  • Phone: 513-232-2772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number01494
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: