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Individual

DR. RICHARD JEFFREY KAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3229 BURNET AVENUE, CINCINNATI, OH 45229-3095
(513) 872-6206
(513) 872-6396
Mailing address
PO BOX 8500 LOCK BOX #8302, SHRINERS HOSPITAL FOR CHILDREN, PHILADELPHIA, PA 19178-8302
(813) 281-8487
(813) 281-8113

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35-056534
OH
2086S0122X
Plastic and Reconstructive Surgery Physician
35-056534
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0693692
OH
05
64860018
KY
Enumeration date
03/08/2006
Last updated
03/14/2011
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