Healthcare Provider Details

I. General information

NPI: 1942276746
Provider Name (Legal Business Name): DONNA M KRUMMEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
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 Number35-068027
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: