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Individual

DR. MICHAEL DEAN KERBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1001 MONROE RD, LEBANON, OH 45036-1414
(513) 934-2020
(513) 934-2028
Mailing address
PO BOX 263, 1001 MONROE ROAD, LEBANON, OH 45036-0263
(513) 934-2020
(513) 934-2028

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4756
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0005188584
AETNA
OH
01
020870
ANTHEM
OH
05
2053414
OH
01
281777
PREFERRED EYE CARE PROVID
OH
01
6574
HUMANA
OH
Enumeration date
02/23/2007
Last updated
09/30/2021
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