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1194765800

NPI Code Detail

MEDICARE: DR. KURT P LEUENBERGER MD

MEDICARE: DR. KURT P LEUENBERGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	01062084A	IN
2	207RX0202X	Medical Oncology Physician	35082192	OH
3	207RH0003X	Hematology & Oncology Physician	35082192	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1194765800
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KURT P LEUENBERGER MD

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1108
Country	:	US
Telephone Number	:	513-751-2273
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	07/29/2021

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Directions to “ DR. KURT P LEUENBERGER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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