MEDICARE: ABASI KEY

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1649927286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABASI KEY

Provider Business Mailing Address
First Line	:	PO BOX 40153
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45240-0153
Country	:	US
Telephone Number	:	513-704-1268
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 BROADWELL AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-6508
Country	:	US
Telephone Number	:	513-704-1268
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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Directions to “ ABASI KEY ” Practice Location

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