Provider Demographics
NPI:1659305647
Name:HELMUTH, KATHRYN O (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:O
Last Name:HELMUTH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-345-1100
Mailing Address - Fax:330-345-1194
Practice Address - Street 1:128 E MILLTOWN RD
Practice Address - Street 2:# 209
Practice Address - City:WOOSTER
Practice Address - State:OH
Practice Address - Zip Code:44691-6109
Practice Address - Country:US
Practice Address - Phone:330-345-1100
Practice Address - Fax:330-345-1194
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-049587208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics