Individual
KEITH LUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3235 EDEN AVE., MAIL LOCATION 0560, CINCINNATI, OH 45219-0560
(513) 584-6977
(513) 584-6386
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5504
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
35.094299
OH
Other
Enumeration date
10/16/2007
Last updated
11/10/2022
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