Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Michelle Provanzana, MD

Individual provider Family Medicine Physician · NPI 1891736013

Kathleen Michelle Provanzana, MD is registered under Family Practice in Delaware, Ohio. Graduated from Ohio State University College of Medicine in 1995, 31 years ago. Practices with Ohiohealth Corporation, a 2,289-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6 Lexington Blvd
Delaware, OH 43015-1047
Phone: (740) 363-3305
Fax: (740) 383-7942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 697 Thomas Ln, Columbus, OH 43214-3931 — (614) 566-5414

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35071152P (OH)

Record details

NPI number1891736013
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2006
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Ohiohealth Corporation — 2289 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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