Individual
DR. KEVIN T CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9711 MONTGOMERY RD, CINCINNATI, OH 45242-7257
(513) 793-8486
(513) 793-2023
Mailing address
9711 MONTGOMERY ROAD, CINCINNATI, OH 45242
(513) 793-8486
(513) 793-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0023663
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000108798
ANTHEM
OH
01
—
00000021016
BCBS
—
05
—
0772810
—
OH
05
—
200023660
—
IN
01
—
410030914
RAILROAD MEDICARE
OH
05
—
77540185
—
KY
Enumeration date
04/27/2006
Last updated
01/26/2016
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