Cathy E Liesner, MD
Obstetrics & Gynecology, Gynecology in Kettering, OH. Individual provider (NPI-1).
NPI number1104883537
StatusActive
Last updated in NPPESMar 7, 2023
Details
- NPI
- 1104883537
- Entity type
- Individual (NPI-1)
- Name
- Cathy E Liesner
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2006
- Certification date
- Apr 25, 2022
- Last updated
- Mar 7, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | 35051994L | OH | Yes |
Practice location
3533 Southern BlvdSte 4600
Kettering, OH 45449-1273
Phone 937-296-0167 · Fax 937-297-2330
Mailing address
3533 Southern BlvdSte 4600
Kettering, OH 45449-1273
Phone 937-296-0167 · Fax 937-297-2330
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