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NPI Code Detail

MEDICARE: MR. ROMAN A KEIM SR.

MEDICARE: MR. ROMAN A KEIM SR.
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
1171WH0202XHome Modifications ContractorOH
2171WH0202XHome Modifications Contractor

General Provider Information

NPI Number : 1225897135
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROMAN A KEIM SR.
Provider Business Mailing Address
First Line : 601 PITTSBURGH AVE STE E
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-3933
Country : US
Telephone Number : 740-507-9399
Fax Number :
Provider Business Practice Location Address
First Line : 601 PITTSBURGH AVE STE E
Second Line :
City : MOUNT VERNON
State : OH
Zip : 43050-3933
Country : US
Telephone Number : 740-507-9399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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