Individual
KENNETH E. SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
222 PIEDMONT AVE, CINCINNATI, OH 45219-4231
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6356
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-066459
OH
207RG0100X
Gastroenterology Physician
35-066459
OH
207RI0008X
Hepatology Physician
35066459
OH
207RT0003X
Transplant Hepatology Physician
Primary
35-066459
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0970561
—
OH
01
—
110116146
RAIL ROAD MEDICARE
OH
05
—
200027340
—
IN
05
—
64935190
—
KY
Enumeration date
05/03/2006
Last updated
09/02/2021
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