# KEVIN M RADECKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1194724260
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 35079805 | OH | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | D0063316 | MD | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 04/24/2008