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NPI Code Detail

MEDICARE: KATHLEEN FRIEDRICH PA-C

MEDICARE: KATHLEEN FRIEDRICH PA-C
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
1363AS0400XSurgical Physician Assistant

General Provider Information

NPI Number : 1518478767
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN FRIEDRICH PA-C
Provider Business Mailing Address
First Line : 9616 KNOWLTON RD
Second Line :
City : GARRETTSVILLE
State : OH
Zip : 44231-9227
Country : US
Telephone Number : 216-262-1701
Fax Number :
Provider Business Practice Location Address
First Line : 6780 MAYFIELD RD
Second Line :
City : MAYFIELD HTS
State : OH
Zip : 44124-2203
Country : US
Telephone Number : 440-312-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2017
Last Update Date : 04/06/2026

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Directions to “ KATHLEEN FRIEDRICH PA-C” Practice Location

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