Provider Demographics
NPI:1972822153
Name:KARHOFF, KATHRYN L (DO)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:L
Last Name:KARHOFF
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 WESTERN AVE STE A
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-1390
Mailing Address - Country:US
Mailing Address - Phone:419-423-4994
Mailing Address - Fax:419-423-4110
Practice Address - Street 1:1725 WESTERN AVE STE A
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840
Practice Address - Country:US
Practice Address - Phone:419-423-4994
Practice Address - Fax:419-423-4110
Is Sole Proprietor?:No
Enumeration Date:2010-05-27
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34010688207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH217831OtherMEDICARE
OH0089873Medicaid