Organization
CEI PHYSICIANS PSC LLC
Active
Parent organization
CEI PHYSICIANS PSC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEI PHYSICIANS PSC LLC
Authorized official
MS. TERI J KNIGHT (CORPORATE CREDENTIALS MANAGER)
(513) 569-3741
Entity
Organization
Contact information
Practice address
580 S LOOP RD, SUITE 200, EDGEWOOD, KY 41017
(859) 331-9000
(859) 331-9040
Mailing address
1945 CEI DR, BLUE ASH, OH 45242-5664
(513) 569-3741
(513) 569-3941
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100004440D
—
IN
05
—
2215721
—
OH
05
—
6592833500
—
KY
01
—
CC6633
RAILROAD MEDICARE
KY
Enumeration date
10/18/2005
Last updated
10/11/2022
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