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NPI Code Detail

MEDICARE: MEGAN KRALLMAN COOK DO

MEDICARE: MEGAN KRALLMAN COOK DO
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
1207Q00000XFamily Medicine Physician34013746OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
134.013746OTHEROHLICENSE

General Provider Information

NPI Number : 1730538323
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN KRALLMAN COOK DO
Provider Business Mailing Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number :
Provider Business Practice Location Address
First Line : 601 IVY GTWY STE 2100
Second Line :
City : CINCINNATI
State : OH
Zip : 45245-2052
Country : US
Telephone Number : 513-752-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2016
Last Update Date : 08/01/2024

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