Individual
KEVIN PATRICK FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7388 TURFWAY ROAD, FLORENCE, KY 41042-1381
(859) 287-3045
(859) 525-8806
Mailing address
P.O. BOX 636324, CINCINNATI, OH 45263-6324
(859) 344-5555
(859) 344-5552
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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