Individual
KEVIN PATRICK FITZGERALD
Active
Individual
KEVIN PATRICK FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35-091340
OH
207RC0000X
Cardiovascular Disease Physician
41887
KY
207RI0011X
Interventional Cardiology Physician
Primary
41887
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00954001
MEDICARE PTAN
KY
05
—
200966610
—
IN
05
—
2844211
—
OH
01
—
50024705
PASSPORT MEDICAID
KY
01
—
611300608063
CARESOURCE
OH
05
—
7100043100
—
KY
01
—
P00912939
RAILROAD MEDICARE
KY
Enumeration date
03/28/2007
Last updated
12/19/2025
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