Provider Demographics
NPI:1427057421
Name:LANG, KATHLEEN JH (MD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:JH
Last Name:LANG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2449 ROSS MILLVILLE RD
Mailing Address - Street 2:SUITE 270
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-8951
Mailing Address - Country:US
Mailing Address - Phone:513-738-3900
Mailing Address - Fax:513-738-7283
Practice Address - Street 1:2449 ROSS MILLVILLE RD
Practice Address - Street 2:SUITE 270
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-8951
Practice Address - Country:US
Practice Address - Phone:513-738-3900
Practice Address - Fax:513-738-7283
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2021-01-19
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Provider Licenses
StateLicense IDTaxonomies
OH35047580L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0529422Medicaid
OH0529422Medicaid
OHLA0549255Medicare PIN