Ackley, Kevin R

Ackley, Kevin R is an individual health care provider with primary practice located at 4415 Aicholtz Rd , Cincinnati OH 45245-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Ackley, Kevin R can be contacted via phone (513) 752-9610.

Contact Information

Primary practice address
4415 Aicholtz Rd Cincinnati OH 45245-1506
Phone: (513) 752-9610
Fax: (513) 732-8734
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 18592 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 35067544-A Ohio

Profile Details

NPI number 1952340903
LBN Legal business name Ackley, Kevin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Jun 15th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952340903 NPPES
West Virginia MEDICAID 0047437000
West Virginia MEDICAID 0179168

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