Kathleen Michelle Provanzana is a Family Medicine Physician based in Delaware, OH. Kathleen Michelle Provanzana practices in Delaware, OH and has the professional credentials of MD. The NPI Number for Kathleen Michelle Provanzana is 1891736013 and holds a License No. 35071152P (Ohio).
The current practice location address for Kathleen Michelle Provanzana is 6 Lexington Blvd, Delaware, OH and can be reached out via phone at 740-363-3305 and via fax at 740-383-7942. You can also correspond with Kathleen Michelle Provanzana through the mailing address at 6 LEXINGTON BLVD, DELAWARE, OH - 43015-1047 (mailing address contact number: 740-363-9021).
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2025334 | 01 | AETNA | |
| 311098079 | 01 | TAX ID PHYS AND NON PHYS | |
| 311098079 | 01 | TAX ID # | |
| 311098079240 | 01 | CIGNA | |
| 0104351 | 01 | UHC | |
| 080122321 | 01 | TRAVELERS MEDICARE | |
| 2074133 | 05 | OH | |
| 0855442 | 01 | PALMETTO MEDICARE | |
| 353077 | 01 | SUBMITTER NO. |
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