Provider Demographics
NPI:1881662989
Name:BARHORST, KATHERINE (CNM)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:BARHORST
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 633370
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3370
Mailing Address - Country:US
Mailing Address - Phone:513-891-8630
Mailing Address - Fax:513-793-1032
Practice Address - Street 1:3440 BURNET AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-2833
Practice Address - Country:US
Practice Address - Phone:513-751-5900
Practice Address - Fax:513-487-4590
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCNM9913367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200800140CMedicaid
OH2204064Medicaid
IN200800140CMedicaid