MEDICARE: BRAD GERALD KUROWSKI

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	2081P0010X	Pediatric Rehabilitation Medicine Physician	35.091844	OH
2	208100000X	Physical Medicine & Rehabilitation Physician	35.091844	OH

General Provider Information

NPI Number	:	1245435684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRAD GERALD KUROWSKI

Provider Business Mailing Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 4009
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-7480
Fax Number	:	513-636-7360

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:	MLC 4009
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-7480
Fax Number	:	513-636-7360

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

Provider Enumeration Date	:	06/17/2007
Last Update Date	:	06/18/2010

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Directions to “ BRAD GERALD KUROWSKI ” Practice Location

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