Corcoran, Kevin T

Corcoran, Kevin T is an individual health care provider with primary practice located at 9711 Montgomery Rd , Cincinnati OH 45242-7257. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Corcoran, Kevin T can be contacted via phone (513) 793-8486.

Contact Information

Primary practice address
9711 Montgomery Rd Cincinnati OH 45242-7257
Phone: (513) 793-8486
Fax: (513) 793-2023
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X T0023663 Ohio

Profile Details

NPI number 1902863673
LBN Legal business name Corcoran, Kevin T
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Jan 26th, 2016 - about 8 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 1902863673 NPPES
Kentucky MEDICAID 77540185
Kentucky Other 000000108798
Kentucky Other 00000021016
Kentucky MEDICAID 200023660
Kentucky MEDICAID 0772810
Kentucky Other 410030914

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