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NPI Code Detail

MEDICARE: KEVIN D KRAVITZ MD

MEDICARE: KEVIN D KRAVITZ MD
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
1207RC0001XClinical Cardiac Electrophysiology Physician35-07-0282OH
2207RC0000XCardiovascular Disease Physician35-07-0282OH

Other Identifiers

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

General Provider Information

NPI Number : 1568464758
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN D KRAVITZ MD
Provider Business Mailing Address
First Line : 1530 NEEDMORE RD
Second Line : STE 300
City : DAYTON
State : OH
Zip : 45414-3969
Country : US
Telephone Number : 937-277-4274
Fax Number : 937-277-8476
Provider Business Practice Location Address
First Line : 1530 NEEDMORE RD
Second Line : STE 300
City : DAYTON
State : OH
Zip : 45414-3969
Country : US
Telephone Number : 937-277-4274
Fax Number : 937-277-8476
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/22/2013

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Directions to “ KEVIN D KRAVITZ MD” Practice Location

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