Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 35052092 | OH |
NPI | 1437194800 |
---|---|
Provider Name | Dr. Kevin Shumrick |
First Address | Cincinnati, OH 45212-2298 |
Second Address | Cincinnati, OH 45230-2356 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2006 |
Last Update Date | 12/02/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0606740 | (05) | OH |
A16192 | (02) | OH |