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Individual

KURT BOYD HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
234 GOODMAN ST, CINCINNATI, OH 45219
(513) 584-3494
(513) 584-3807
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 245-3600
(513) 245-3672

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35134090
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000191772
ANTHEM
IN
05
200263060 A, B, C
IN
Enumeration date
06/27/2005
Last updated
06/15/2018
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