Healthcare Provider Details

I. General information

NPI: 1073879276
Provider Name (Legal Business Name): CLAIRE MCMURRIAN KAPPA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAIRE ELIZABETH MCMURRIAN

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 E GALBRAITH RD STE B
CINCINNATI OH
45236-2886
US

IV. Provider business mailing address

5050 E GALBRAITH RD STE B
CINCINNATI OH
45236-2886
US

V. Phone/Fax

Practice location:
  • Phone: 513-760-5511
  • Fax: 513-780-9600
Mailing address:
  • Phone: 513-760-5511
  • Fax: 513-781-9600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number201500776
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35131359
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: