Provider Demographics
NPI:1699883579
Name:POOL, KATHRYN SPONEYBARGER (MD)
Entity type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:SPONEYBARGER
Last Name:POOL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:941 CHATHAM LANE
Mailing Address - Street 2:STE 110
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2492
Mailing Address - Country:US
Mailing Address - Phone:614-569-2229
Mailing Address - Fax:614-569-2228
Practice Address - Street 1:941 CHATHAM LANE
Practice Address - Street 2:STE 110
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2492
Practice Address - Country:US
Practice Address - Phone:614-569-2229
Practice Address - Fax:614-569-2228
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35080052207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3154447Medicaid
OH9289771Medicare ID - Type Unspecified