Fitzgerald, Kevin R.

Fitzgerald, Kevin R. is an individual health care provider with primary practice located at 2123 Auburn Avenue Suite 724, Cincinnati OH 45219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fitzgerald, Kevin R. can be contacted via phone (513) 241-4774.

Contact Information

Primary practice address
2123 Auburn Avenue Suite 724 Cincinnati OH 45219
Phone: (513) 241-4774
Fax: (513) 241-1682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35055457F Ohio
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 01032783A Indiana
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 0420008213 Vermont
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35-055457-F Ohio

Profile Details

NPI number 1578559811
LBN Legal business name Fitzgerald, Kevin R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jan 4th, 2011 - about 15 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 1578559811 NPPES
Ohio MEDICAID 0669638

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