| Cathy E Liesner, MD | |
|
3533 Southern Blvd, Ste 4600, Kettering, OH 45449-1273 | |
| (937) 296-0167 | |
| (937) 297-2330 |
| Full Name | Cathy E Liesner |
|---|---|
| Gender | Female |
| Speciality | Obstetrics & Gynecology - Gynecology |
| Location | 3533 Southern Blvd, Kettering, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104883537 | NPI | - | NPPES |
| 0589144 | Medicaid | OH | |
| 000000009392 | Other | ANTHEM PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 35051994L (Ohio) | Primary |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Cathy E Liesner, MD 3533 Southern Blvd, Ste 4600, Kettering, OH 45449-1273 Ph: (937) 296-0167 | Cathy E Liesner, MD 3533 Southern Blvd, Ste 4600, Kettering, OH 45449-1273 Ph: (937) 296-0167 |
Dr. Michael Stephen Guy, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3700 Southern Blvd Ste 201, Kettering, OH 45429 Phone: 855-500-2873 Fax: 937-281-3992 | |
Helen K Mirau, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 215 E Stroop Rd, Suite 204, Kettering, OH 45429 Phone: 937-293-3680 Fax: 937-293-3698 | |
V. Joseph Karnitis, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 3533 Southern Blvd, Suite 4100, Kettering, OH 45429 Phone: 937-395-8444 Fax: 937-395-8450 | |
Sunita M Reddy, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3533 Southern Blvd, Ste 4600, Kettering, OH 45429 Phone: 937-296-0167 Fax: 937-297-2330 | |
Marcia L Collins, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3533 Southern Blvd, Ste 4600, Kettering, OH 45429 Phone: 937-296-0167 Fax: 937-297-2330 | |
Najwa Tabrah, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 3533 Southern Blvd, Suite 4600, Kettering, OH 45429 Phone: 937-296-0167 Fax: 937-297-2330 |