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General NPI Number Information
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NPI Number | 1669038956
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Entity Type | Individual
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Provider Name | KATHERINE D REDMOND DO
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Gender | Female
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Dates
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Enumeration Date | 05/13/2019
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 246 COMMONWEALTH RD
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City | VANCEBURG
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State | KY
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Zip | 41179-5003
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Country | US
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Telephone | 606-796-0010
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Fax | 606-796-0011
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Provider Business Mailing Address
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Address Line | 1735 27TH ST STE B06
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City | PORTSMOUTH
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State | OH
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Zip | 45662-2681
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Country | US
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Telephone | 740-356-8681
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Fax | 740-356-1256
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34.016685
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 34.016685
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 05605
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 05605
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License Number State | KY
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