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NPI 1417612102 · live from the CMS NPI Registry

Kathryn Danielle Balcom, CNP

Nurse Practitioner, Women's Health in West Chester, OH. National Provider Identifier 1417612102, active.

NPI record

NPI1417612102 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Women's Health 363LW0102X
Practice location7675 Wellness Way Ste 315, West Chester, OH 45069
Practice phone513-475-7600
Mailing address2830 Victory Pkwy, Cincinnati, OH 45206
EnumeratedNovember 8, 2021
Last updatedNovember 10, 2021
Sole proprietorYes
Other namesKatie Burger

Taxonomies and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology, Reproductive Endocrinology207VE0102XAPRN.CNP.024895 (OH)
Nurse Practitioner, Women's Health primary363LW0102XAPRN.CNP.024895 (OH)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.