Healthcare Provider Details

I. General information

NPI: 1396987632
Provider Name (Legal Business Name): MARIA LYNN KERSTING AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2009
Last Update Date: 02/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7691 5 MILE RD SUITE 214
CINCINNATI OH
45230
US

IV. Provider business mailing address

2123 AUBURN AVE SUITE 209
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-3277
  • Fax: 513-232-3444
Mailing address:
  • Phone: 513-421-5558
  • Fax: 513-632-5804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: