MEDICARE: KEVIN F SUNSHEIN DPM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154374304
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KEVIN F SUNSHEIN DPM INC

Provider Business Mailing Address
First Line	:	6474 CENTERVILLE BUSINESS PKWY
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2633
Country	:	US
Telephone Number	:	937-435-7477
Fax Number	:	937-435-6644

Provider Business Practice Location Address
First Line	:	6474 CENTERVILLE BUSINESS PKWY
Second Line	:
City	:	CENTERVILLE
State	:	OH
Zip	:	45459-2633
Country	:	US
Telephone Number	:	937-435-7477
Fax Number	:	937-435-6644

Authorized Official
Title or Position	:	OWNER
Name	:	KEVIN FREDERICK SUNSHEIN
Credential	:	D.P.M.
Telephone Number	:	937-435-7477

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	09/02/2025

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