Jurell, Kim Richard
Jurell, Kim Richard is an individual health care provider with primary practice located at 2925 Vernon Pl Suite 100, Cincinnati OH 45219-2425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Jurell, Kim Richard can be contacted via phone (513) 751-6667.Contact Information
Primary practice address
2925 Vernon Pl Suite 100
Cincinnati OH 45219-2425
Phone: (513) 751-6667
Fax: (513) 872-4553
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 35070397 | Ohio |
Profile Details
| NPI number | 1114916012 |
|---|---|
| LBN Legal business name | Jurell, Kim Richard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Jun 25th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114916012 | NPPES |
| Ohio | MEDICAID | 0249314 |
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