Organization
KENWOOD PEDIATRIC ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT D LACKER MD (PRESIDENT)
(513) 984-1400
Entity
Organization
Contact information
Practice address
7835 REMINGTON RD, CINCINNATI, OH 45242
(513) 984-1400
(513) 984-3485
Mailing address
7835 REMINGTON RD, CINCINNATI, OH 45242
(513) 984-1400
(513) 984-3485
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
08/22/2020
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