Kenwood Pediatric Assoc INC

NPI #1063509966 in Cincinnati, Ohio

Provider Information

NPI Number: 1063509966
Entity Type: Organization
Organization Name: Kenwood Pediatric Assoc INC
Primary Specialty: Pediatrics
Enumeration Date: Oct 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 7835 REMINGTON RD
City: Cincinnati
State: Ohio
ZIP Code: 45242
Phone: (513) 984-1400

Authorized Official

Name: DR. ROBERT D LACKER, MD
Title: PRESIDENT
Phone: (513) 984-1400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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