Provider Demographics
NPI:1205727518
Name:LATHAM, KATHERINE LYNN (CAREGIVER)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:LYNN
Last Name:LATHAM
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4270 IVY POINTE BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45245-0003
Mailing Address - Country:US
Mailing Address - Phone:513-528-7823
Mailing Address - Fax:513-528-9675
Practice Address - Street 1:4270 IVY POINTE BLVD STE 120
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45245-0003
Practice Address - Country:US
Practice Address - Phone:513-528-7823
Practice Address - Fax:513-528-9675
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker