Individual
JENNIFER KATHRYN O'TOOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3188 BELLEVUE AVE, CINCINNATI, OH 45219-2369
(513) 558-7581
(513) 558-4399
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35089456
OH
208000000X
Pediatrics Physician
35089456
OH
208M00000X
Hospitalist Physician
Primary
35.089456
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200869850
—
IN
05
—
2757397
—
OH
05
—
7100019450
—
KY
Enumeration date
05/01/2007
Last updated
05/07/2024
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