Healthcare Provider Details
I. General information
NPI: 1649831082
Provider Name (Legal Business Name): KRISTIE RAMOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2019
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3333 BURNET AVE
CINCINNATI OH
45229-3026
US
IV. Provider business mailing address
3333 BURNET AVE ML 7015
CINCINNATI OH
45229
US
V. Phone/Fax
- Phone: 513-803-4738
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0207X |
| Taxonomy | Pediatric Hematology & Oncology Physician |
| License Number | 35.145359 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 2019019863 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: