MEDICARE: DR. RICHARD JOHN KAZIOR 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
1	207V00000X	Obstetrics & Gynecology Physician	35052062	OH

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	:	1902827306
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD JOHN KAZIOR MD

Provider Business Mailing Address
First Line	:	10496 MONTGOMERY RD
Second Line	:	SUITE 212
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5223
Country	:	US
Telephone Number	:	513-891-9990
Fax Number	:

Provider Business Practice Location Address
First Line	:	10496 MONTGOMERY RD
Second Line	:	SUITE 212
City	:	CINCINNATI
State	:	OH
Zip	:	45242-5223
Country	:	US
Telephone Number	:	513-891-9990
Fax Number	:

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	07/09/2007

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