MEDICARE: DR. KATHLEEN MARIE BERTUNA D.O.

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	207V00000X	Obstetrics & Gynecology Physician	34.009126	OH

General Provider Information

NPI Number	:	1770784613
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN MARIE BERTUNA D.O.

Provider Business Mailing Address
First Line	:	416 COLEGATE DR BLDG 3
Second Line	:
City	:	MARIETTA
State	:	OH
Zip	:	45750-9549
Country	:	US
Telephone Number	:	740-568-4814
Fax Number	:	740-374-3165

Provider Business Practice Location Address
First Line	:	206 COLUMBUS RD STE 302
Second Line	:
City	:	ATHENS
State	:	OH
Zip	:	45701-1316
Country	:	US
Telephone Number	:	740-331-6912
Fax Number	:

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

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	06/24/2024

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