Kim-Maulsby, Susie H

Kim-Maulsby, Susie H is an individual health care provider with primary practice located at 5400 Kennedy Ave , Cincinnati OH 45213-2664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kim-Maulsby, Susie H can be contacted via phone (513) 281-3400.

Contact Information

Primary practice address
5400 Kennedy Ave Cincinnati OH 45213-2664
Phone: (513) 281-3400
Fax: (513) 527-2275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-078938 Ohio

Profile Details

NPI number 1720083041
LBN Legal business name Kim-Maulsby, Susie H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jan 28th, 2013 - about 11 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 1720083041 NPPES
Florida MEDICAID 271414100
Florida MEDICAID 64086820
Florida MEDICAID 2311751

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