Davis, Kenneth

Davis, Kenneth is an individual health care provider with primary practice located at 234 Goodman Street , Cincinnati OH 45219-2364. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Davis, Kenneth can be contacted via phone (513) 475-8787.

Contact Information

Primary practice address
234 Goodman Street Cincinnati OH 45219-2364
Phone: (513) 475-8787
Fax: (513) 558-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35 051087 Ohio
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 35-051087 Ohio

Profile Details

NPI number 1295703122
LBN Legal business name Davis, Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 9th, 2018 - about 7 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 1295703122 NPPES
Kentucky MEDICAID 64786429
Kentucky Other P00442454
Kentucky MEDICAID 0571804

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