Individual
DR. KEVIN R DUFENDACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3026
(513) 803-4232
(513) 636-4404
Mailing address
3333 BURNET AVE, ML 7009, CINCINNATI, OH 45229-3026
(513) 803-4232
(513) 636-4404
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
128932
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
10/19/2010
Last updated
07/20/2016
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