Individual
NATHAN KENT EVANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3333 BURNET AVE, ML 4009, CINCINNATI, OH 45229-3039
(513) 636-7480
(513) 636-7360
Mailing address
3333 BURNET AVE, ML 4009, CINCINNATI, OH 45229-3039
(513) 636-7480
(513) 636-7360
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
35.126594
OH
2081P0010X
Pediatric Rehabilitation Medicine Physician
57.017771
OH
Other
Enumeration date
04/13/2010
Last updated
06/25/2015
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