Organization
BEE WELL PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA M KRIVORUCHKA (ADMINISTRATION)
(608) 213-4410
Entity
Organization
Contact information
Practice address
2730 OBSERVATORY AVE, CINCINNATI, OH 45208-2108
(513) 258-0896
Mailing address
2730 OBSERVATORY AVE, CINCINNATI, OH 45208-2108
(513) 258-0896
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
Primary
07905
OH
Other
Enumeration date
11/29/2017
Last updated
11/29/2017
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