Individual
KEVIN T PLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3617
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(859) 572-3617
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01084730A
IN
207P00000X
Emergency Medicine Physician
35084388
OH
207P00000X
Emergency Medicine Physician
Primary
54452
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200490040
—
IN
05
—
2483487
—
OH
05
—
64087679
—
KY
Enumeration date
06/20/2005
Last updated
11/18/2020
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