KATIE JO GENTRY

CINCINNATI, OH
NPI1083940308
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OH  50.002982)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: OH  50.002982)
363AS0400X Physician Assistant, Surgical
(Licence: OH  50.002983)
Enumeration Date2009-10-21
Last Update Date2010-07-08
Business Address
-- KATIE JO GENTRY PA
234 GOODMAN ST
CINCINNATI, OH 45219-2364
Phone number: 513-584-4318
Mailing Address
-- KATIE JO GENTRY PA
2830 VICTORY PKWY
CINCINNATI, OH 45206-1785
Phone number: 513-245-3335