Individual
KEVIN EGGERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
375 DIXMYTH AVE, CINCINNATI, OH 45220-2475
(513) 862-3452
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 853-4722
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35.069538
OH
2084P0800X
Psychiatry Physician
69538
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0202364
—
OH
Enumeration date
03/13/2007
Last updated
03/01/2021
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