Individual
GERARD E KORTEKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVE, SUITE 520, CINCINNATI, OH 45219-2906
(513) 585-1300
(513) 585-1358
Mailing address
4380 MALSBARY RD, SUITE 200, CINCINNATI, OH 45242-5644
(513) 366-4488
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35049141K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000569046
ANTHEM PIN
—
05
—
0592514
—
OH
05
—
200468150
—
IN
05
—
64787575
—
KY
Enumeration date
03/24/2006
Last updated
10/22/2020
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