Individual
MR. KEVIN R. FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2123 AUBURN AVENUE, SUITE 724, CINCINNATI, OH 45219
(513) 241-4774
(513) 241-1682
Mailing address
2123 AUBURN AVENUE, SUITE 724, CINCINNATI, OH 45219
(513) 241-4774
(513) 241-1682
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01032783A
IN
207V00000X
Obstetrics & Gynecology Physician
0420008213
VT
207V00000X
Obstetrics & Gynecology Physician
Primary
35-055457-F
OH
207V00000X
Obstetrics & Gynecology Physician
35055457F
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669638
—
OH
Enumeration date
09/22/2005
Last updated
01/04/2011
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