Healthcare Provider Details

I. General information

NPI: 1124220199
Provider Name (Legal Business Name): EILEEN MURTAGH KUROWSKI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE ML 2008
CINCINNATI OH
45229-3039
US

IV. Provider business mailing address

3333 BURNET AVE ML2008
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-6271
  • Fax:
Mailing address:
  • Phone: 513-636-6271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.091607
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number35.091607
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: