| |
1295 Kemper Meadow Dr Cincinnati OH 45240-1633 | |
(513) 648-9077 | |
(513) 648-9554 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1295 Kemper Meadow Dr, Cincinnati, Ohio |
Authorized Official Name and Position | James Larson (SENIOR DIRECTOR) |
Authorized Official Contact | 5135859336 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3200 Burnet Ave 1 Ridgeway Cincinnati OH 45229-3019 Ph: (513) 585-9009 | 1295 Kemper Meadow Dr Cincinnati OH 45240-1633 Ph: (513) 648-9077 |
NPI Number | 1013181627 |
---|---|
Provider Enumeration Date | 04/15/2008 |
Last Update Date | 04/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013181627 | NPI | - | NPPES |
65929291 | Medicaid | KY | |
2708341 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Secondary |
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 |