Healthcare Provider Details

I. General information

NPI: 1609889872
Provider Name (Legal Business Name): KIRBY J. REINHART M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 VINE ST # 113
CINCINNATI OH
45220-2213
US

IV. Provider business mailing address

6428 WESTOVER CIR
CINCINNATI OH
45236-2202
US

V. Phone/Fax

Practice location:
  • Phone: 513-475-6804
  • Fax: 513-475-6534
Mailing address:
  • Phone: 513-794-0544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number35.074932
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: