Provider Demographics
NPI:1992760771
Name:KE, KATHERINE C (MD)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:C
Last Name:KE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1106 OHIO RIVER BLVD
Mailing Address - Street 2:STE 604A
Mailing Address - City:SEWICKLEY
Mailing Address - State:PA
Mailing Address - Zip Code:15143
Mailing Address - Country:US
Mailing Address - Phone:412-741-6162
Mailing Address - Fax:412-741-6167
Practice Address - Street 1:1106 OHIO RIVER BLVD
Practice Address - Street 2:STE 604A
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143
Practice Address - Country:US
Practice Address - Phone:412-741-6162
Practice Address - Fax:412-741-6167
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2012-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD056756L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA202U5300OtherHEALTH AMERICA ASSURANCE
PA251782OtherPRACTICE UPMC
PA00165308OtherHIGHMARK BCBS
PA533408OtherCIGNA
PA262DOtherINDIVIDUAL UPMC
PA3952195OtherAETNA US HEALTHCARE HMO
PA5064585OtherAETNA US HEALTHCARE
PA093509Medicare ID - Type UnspecifiedPRACTICE
PA533408OtherCIGNA
PA251782OtherPRACTICE UPMC