=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174632863
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MICHAEL S KREINDLER M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/29/2006
-----------------------------------------------------
Last Update Date | 10/30/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10945 REED HARTMAN HWY BUILDING 5, SUITE 209
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45242-2828
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-522-8100
-----------------------------------------------------
Fax | 513-474-5802
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10945 REED HARTMAN HWY BUILDING 5, SUITE 209
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45242-2828
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-522-8100
-----------------------------------------------------
Fax | 513-474-5802
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207KA0200X
-----------------------------------------------------
Taxonomy Name | Allergy Physician
-----------------------------------------------------
License Number | 35.030308
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------