Healthcare Provider Details

I. General information

NPI: 1528168648
Provider Name (Legal Business Name): DONNA KRUMMEN MD PLASTIC & RECONSTRUCTIVE SURGERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8211 CORNELL RD STE 520
CINCINNATI OH
45249-2273
US

IV. Provider business mailing address

8211 CORNELL RD STE 520
CINCINNATI OH
45249-2274
US

V. Phone/Fax

Practice location:
  • Phone: 513-985-0850
  • Fax: 513-985-0860
Mailing address:
  • Phone: 513-985-0850
  • Fax: 513-985-0860

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DONNA M KRUMMEN
Title or Position: OWNER
Credential: MD
Phone: 513-985-0850