Organization
KENWOOD DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA SHAH MD (PRESIDENT)
(513) 745-5510
Entity
Organization
Contact information
Practice address
8250 KENWOOD CROSSING WAY, SUITE 101, CINCINNATI, OH 45236-3668
(513) 745-5510
Mailing address
8250 KENWOOD CROSSING WAY STE 101, CINCINNATI, OH 45236-3669
(513) 745-5510
(513) 745-5515
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35.097237
OH
207NP0225X
Pediatric Dermatology Physician
35.097237
OH
Other
Enumeration date
08/01/2016
Last updated
10/20/2018
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