Individual
SUSIE H KIM-MAULSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5400 KENNEDY AVE, CINCINNATI, OH 45213-2664
(513) 281-3400
(513) 527-2275
Mailing address
5400 KENNEDY AVE, CINCINNATI, OH 45213-2664
(513) 281-3400
(513) 527-2275
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-078938
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2311751
—
OH
05
—
271414100
—
FL
05
—
64086820
—
KY
Enumeration date
06/14/2005
Last updated
01/28/2013
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