Individual
JEFFREY L KEARFOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20 SOUTH BURNETT, SPRINGFIELD, OH 45505
(937) 325-6363
(937) 325-7262
Mailing address
20 SOUTH BURNETT, SPRINGFIELD, OH 45505
(937) 325-6363
(937) 325-7262
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35055570K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018159
ANTHEM
—
05
—
0778314
—
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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