MEDICARE: MRS. KATHRYN WIZE RHYNE SWT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.2504090-TRNE	OH

General Provider Information

NPI Number	:	1225905870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHRYN WIZE RHYNE SWT

Provider Business Mailing Address
First Line	:	8040 HOSBROOK RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2908
Country	:	US
Telephone Number	:	513-939-0300
Fax Number	:

Provider Business Practice Location Address
First Line	:	8040 HOSBROOK RD STE 320
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2908
Country	:	US
Telephone Number	:	513-939-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	12/09/2025

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