Individual
KELLEY A KIRWAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7655 5 MILE RD, SUITE 101, CINCINNATI, OH 45230-4326
(513) 231-3345
(513) 624-2588
Mailing address
7655 5 MILE RD, SUITE 101, CINCINNATI, OH 45230-4326
(513) 231-3345
(513) 624-2588
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35058018
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004131
ANTHEM INSURANCE
OH
05
—
0739099
—
OH
Enumeration date
01/23/2006
Last updated
07/08/2007
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