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9330 Kenwood Rd Cincinnati OH 45242-6810 | |
(513) 891-5900 | |
(513) 891-0762 |
Full Name | |
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Speciality | Internal Medicine |
Location | 9330 Kenwood Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Autumn H Thomas (PRACTICE MANAGER) |
Authorized Official Contact | 5138915900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9330 Kenwood Rd Cincinnati OH 45242-6810 Ph: (513) 891-5900 | 9330 Kenwood Rd Cincinnati OH 45242-6810 Ph: (513) 891-5900 |
NPI Number | 1619158375 |
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Provider Enumeration Date | 11/21/2007 |
Last Update Date | 09/18/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619158375 | NPI | - | NPPES |
0553726 | Medicaid | OH | |
010014039 | Other | OH | RAILROAD MEDICARE |
9315621 | Other | OH | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 47549 (Ohio) | Primary |
Oki Kidney Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4760 E Galbraith Rd, Ste 217, Cincinnati, OH 45236 Phone: 513-842-2000 | |
Uc Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Goodman St, Ml 665x, Cincinnati, OH 45219 Phone: 513-584-7425 Fax: 513-584-8730 |