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BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD NPI 1619388386


NPI Information

NPI: 1619388386
Provider Name: BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 36D2099367

Address:
6934 MONTGOMERY RD
CINCINNATI, OH
ZIP 45236
Phone: (513) 792-0070
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BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD is a general practice in Cincinnati, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BUCKEYE PHYSICAL MEDICINE AND REHAB - KENWOOD NPI is 1619388386. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6934 MONTGOMERY RD
CINCINNATI, OH
ZIP 45236-821
Phone: (513) 792-0070
Fax: (513) 792-0466

The provider's authorized official is Karla Talledo .
The authorized official title is Director Of Operations and has the following contact phone number (614) 305-5063.

The CLIA number assigned to this NPI record is 36D2099367 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 5/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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