Individual
DR. RON M KOPPENHOEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8333 MONTGOMERY RD, CINCINNATI, OH 45236-2227
(573) 792-5600
(573) 792-5604
Mailing address
8333 MONTGOMERY RD, CINCINNATI, OH 45236-2227
(573) 792-5600
(573) 792-5604
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
20708
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
3537270
OH
208100000X
Physical Medicine & Rehabilitation Physician
4301064876
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333562
—
OH
Enumeration date
09/01/2005
Last updated
05/15/2008
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