Healthcare Provider Details

I. General information

NPI: 1356970107
Provider Name (Legal Business Name): KATHERINE RHAME
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WYOMING ST STE 3140
DAYTON OH
45409-2722
US

IV. Provider business mailing address

30 E APPLE ST STE 5254
DAYTON OH
45409-2939
US

V. Phone/Fax

Practice location:
  • Phone: 937-208-2400
  • Fax: 937-208-4205
Mailing address:
  • Phone: 937-208-4200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number35.150677
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: