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NPI Code Detail

MEDICARE: KATHRYN MAGOON LINK PA-C

MEDICARE:   KATHRYN MAGOON LINK  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
1363AM0700XMedical Physician Assistant50.005516RXOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821592411
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN MAGOON LINK PA-C
Provider Business Mailing Address
First Line : 4685 FOREST AVEMUE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3397
Country : US
Telephone Number : 513-853-6470
Fax Number : 513-852-8525
Provider Business Practice Location Address
First Line : 1010 CEREAL AVE STE 207
Second Line :
City : HAMILTON
State : OH
Zip : 45013-2772
Country : US
Telephone Number : 513-867-3331
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2018
Last Update Date : 02/19/2025

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Directions to “ KATHRYN MAGOON LINK PA-C” Practice Location

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