Individual
PAUL S KINGMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
3333 BURNET AVENUE, ML 7009, CINCINNATI, OH 45229-3039
(513) 636-4830
(513) 636-7868
Mailing address
3333 BURNET AVENUE, ML 5021, CINCINNATI, OH 45229-3039
(513) 636-2039
(866) 851-6567
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35081124
OH
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.081124
OH
Other
Enumeration date
11/06/2006
Last updated
03/18/2015
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