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375 Dixmyth Ave 3rd Floor Cincinnati OH 45220-2475 | |
(513) 862-2563 | |
(513) 862-8862 |
Full Name | |
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Speciality | Internal Medicine |
Location | 375 Dixmyth Ave, Cincinnati, Ohio |
Authorized Official Name and Position | Donna S Nienaber (CORPORATE SECRETARY BOARD MEMBER) |
Authorized Official Contact | 5135696386 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 631395 Cincinnati OH 45263-1395 Ph: (513) 569-5027 | 375 Dixmyth Ave 3rd Floor Cincinnati OH 45220-2475 Ph: (513) 862-2563 |
NPI Number | 1912001603 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 04/14/2016 |
Identifier | Type | State | Issuer |
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1912001603 | NPI | - | NPPES |
200372050 | Medicaid | IN | |
0998783 | Medicaid | OH | |
65916090 | Medicaid | KY |
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 |