| Doctor Name: | CATHERINE FANGMAN |
| NPI Number: | 1053753434 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | PA1834 |
| Business Practice Address: | 85 N Grand Ave Fort Thomas, KY - 410751793 |
| Business Phone Number: | 8595723617 |
| Business Fax Number: | 8595722366 |
| Mailing Address: | Po Box 18667, ERLANGER |
| State: | KY |
| Postal Code: | 410180667 |
| Phone Number: | 8595723617 |
| Fax Number: | 8595722366 |
| NPI Enumeration Date: | 07/25/2013 |
| NPI Last Update Date: | 05/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA1834 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |