Individual
KIM M FODOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7825 LAUREL AVE, CINCINNATI, OH 45243-2608
(513) 561-4811
(513) 561-2730
Mailing address
7825 LAUREL AVE, CINCINNATI, OH 45243-2608
(513) 561-4811
(513) 561-2730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35080924
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2468913
—
OH
Enumeration date
06/27/2006
Last updated
07/08/2007
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