Organization
CINCINNATI MEDICAL IMAGING
Active
Organization
CINCINNATI MEDICAL IMAGING
Active
Other names
Kenwood Medical Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH R HUDEPOHL (SECRETARY/TREASURER)
(413) 872-4500
Entity
Organization
Contact information
Practice address
8154 MONTGOMERY RD, SUITE 102, CINCINNATI, OH 45236-2968
(513) 872-4500
(513) 527-0416
Mailing address
4170 ROSSLYN DR, SUITE B, CINCINNATI, OH 45209-1197
(513) 686-8000
(513) 686-8004
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1130910
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2221223
—
OH
05
—
86000122
—
KY
Enumeration date
05/18/2006
Last updated
03/03/2008
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