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Individual

PAUL E KECK JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
231 ALBERT SABIN WAY, MAIL LOCATION 0559, CINCINNATI, OH 45267-0001
(513) 558-6935
(513) 558-4805
Mailing address
231 ALBERT SABIN WAY, MAIL LOCATION 0559, CINCINNATI, OH 45267-0001
(513) 558-6935
(513) 558-4805

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35061382
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0850271
OH
01
260029604
MEDICARE RAILROAD
OH
05
64937154
KY
Enumeration date
10/26/2006
Last updated
05/12/2008
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