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Individual

JOHN KERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL VILLAGE DR, ATTN: RADIOLOGY DEPARTMENT, EDGEWOOD, KY 41017-3403
(859) 301-2160
(859) 301-3932
Mailing address
PO BOX 932163, CLEVELAND, OH 44193-0001
(586) 412-4000
(586) 412-4100

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
24536
KY
2085R0202X
Diagnostic Radiology Physician
Primary
24536
KY
2085R0202X
Diagnostic Radiology Physician
35051630
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0672286
OH
01
300013436
RRMC
05
64245368
KY
Enumeration date
08/22/2005
Last updated
08/07/2013
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