Healthcare Provider Details

I. General information

NPI: 1609371228
Provider Name (Legal Business Name): KEVIN MENSCHEL DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 EATON AVE
HAMILTON OH
45013-2767
US

IV. Provider business mailing address

630 EATON AVE
HAMILTON OH
45013-2767
US

V. Phone/Fax

Practice location:
  • Phone: 513-867-2270
  • Fax:
Mailing address:
  • Phone: 513-867-2270
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number34.014962
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: