Individual
DR. EDWARD J KINKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1989 MIAMISBURG CENTERVILLE RD, STE 301, CENTERVILLE, OH 45459-3858
(937) 434-7353
(937) 438-6569
Mailing address
2912 SPRINGBORO W, STE 201, DAYTON, OH 45439-1674
(937) 434-7353
(937) 438-6569
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002998K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227873
UNICARE
OH
01
—
0120251
UNITED HEALTHCARE
OH
05
—
0480224
—
OH
01
—
080191713
RAILROAD MEDICARE
OH
01
—
2220377
AETNA
OH
01
—
34002998
MEDICAL LICENSE
OH
01
—
421534506074
CARESOURCE
OH
01
—
D0299805
HUMANA/CHOICECARE
OH
01
—
OC03635
NATIONWIDE HEALTH PLAN
OH
Enumeration date
06/01/2005
Last updated
04/29/2013
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