Individual
DR. SHIVAM RAM KEDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7766 EWING BLVD, FLORENCE, KY 41042-7537
(859) 371-1153
(859) 647-5113
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 371-1153
(859) 647-5113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05102
KY
207Q00000X
Family Medicine Physician
TP272
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2018
Last updated
09/17/2021
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