Individual
KEVIN R ACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4415 AICHOLTZ RD, CINCINNATI, OH 45245-1506
(513) 752-9610
(513) 732-8734
Mailing address
4415 AICHOLTZ ROAD, CINCINNATI, OH 45245-5139
(513) 752-9610
(513) 732-8734
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
18592
WV
207P00000X
Emergency Medicine Physician
Primary
35067544-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0047437000
—
WV
05
—
0179168
—
OH
Enumeration date
06/05/2006
Last updated
06/15/2012
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