Provider Demographics
NPI:1326645854
Name:KAZIMIR, KATHERINE
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:KAZIMIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18500 MAY CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44023-9098
Mailing Address - Country:US
Mailing Address - Phone:440-708-4107
Mailing Address - Fax:
Practice Address - Street 1:9302 OLDE 8 RD
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:OH
Practice Address - Zip Code:44067-2027
Practice Address - Country:US
Practice Address - Phone:440-708-4107
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03438213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist