Individual
KENNETH SCOTT BYRDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10500 MONTGOMERY RD, CINCINNATI, OH 45242-4402
(513) 984-1443
(513) 965-8091
Mailing address
PO BOX 42468, CINCINNATI, OH 45242-0468
(513) 965-8041
(513) 965-8091
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39742
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783797
—
OH
Enumeration date
03/07/2007
Last updated
02/21/2008
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