Individual
HANNA B KIFETEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 W MARKET ST, LIMA, OH 45801-4602
(419) 266-4310
(419) 226-4315
Mailing address
PO BOX 636930, CINCINNATI, OH 45263-6930
(513) 981-5213
(513) 981-5015
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35088628
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2713504
—
OH
Enumeration date
11/20/2006
Last updated
11/26/2014
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