Individual
J KEVIN AHERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 390-9665
(937) 215-6933
Mailing address
100 MEDICAL CENTER DR, SPRINGFIELD, OH 45504-2687
(937) 390-9665
(937) 215-6933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35058701A
OH
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
35.058701
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2418119
—
OH
Enumeration date
05/20/2006
Last updated
09/11/2013
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