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General NPI Number Information
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NPI Number | 1619101979
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Entity Type | Individual
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Provider Name | KRISTIN PATRICIA MAGNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/14/2009
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 2123 AUBURN AVE SUITE 624
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City | CINCINNATI
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State | OH
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Zip | 45219-2906
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Country | US
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Telephone | 513-564-4000
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Fax | 513-564-4001
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Provider Business Mailing Address
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Address Line | 237 WILLIAM HOWARD TAFT RD 2ND FLOOR, CBO2-3, ATTN: CREDENTIALING
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City | CINCINNATI
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State | OH
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Zip | 45219-2610
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Country | US
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Telephone | 513-263-8551
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Fax | 513-366-4480
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 35.120206
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 46211
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License Number State | KY
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