Individual
JEANNE KAVINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219
(513) 475-7880
(513) 475-8766
Mailing address
PO BOX 636256 CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35053430K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0679805
—
OH
05
—
200036230
—
IN
05
—
64864713
—
KY
Enumeration date
04/07/2006
Last updated
03/21/2019
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