Individual
KEVIN P REDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-3494
(513) 584-4007
Mailing address
234 GOODMAN ST, CINCINNATI, OH 45219-2364
(513) 584-3494
(513) 584-4007
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
35-04-9201
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0627638
—
OH
01
—
0655266
AETNA
OH
01
—
16-21000
UNITED HEALTHCARE
OH
05
—
200039310A
—
IN
01
—
295801
BLACK LUNG
OH
05
—
3003880000
—
WV
05
—
64787138
—
KY
01
—
920000712
RAILROAD MEDICARE
OH
05
—
P8B037461
—
TX
Enumeration date
08/17/2005
Last updated
04/05/2016
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