Provider Demographics
NPI:1952499626
Name:HEWITT, KATHERINE D (MD)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:D
Last Name:HEWITT
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:PO BOX 633448
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-3448
Mailing Address - Country:US
Mailing Address - Phone:513-232-3232
Mailing Address - Fax:513-232-3202
Practice Address - Street 1:5777 KELLOGG AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-7142
Practice Address - Country:US
Practice Address - Phone:513-232-3232
Practice Address - Fax:513-232-3202
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2016-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048288207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
6418350001OtherMEDICARE DME
OHA16300Medicare UPIN
HE0577044Medicare PIN
6418350001OtherMEDICARE DME