Individual
C. KEITH MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3131 HARVEY AVE, STE. 104, CINCINNATI, OH 45229
(513) 585-9500
(513) 585-9505
Mailing address
3131 HARVEY AVE, STE. 104, CINCINNATI, OH 45229-3000
(513) 585-9500
(513) 585-9505
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35-047904
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0546832
—
OH
05
—
64784853
—
KY
01
—
P00884838
MEDICARE RR
OH
Enumeration date
09/21/2006
Last updated
08/07/2018
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