MEDICARE: KEITH MCCORMICK

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	172A00000X	Driver

General Provider Information

NPI Number	:	1255193959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEITH MCCORMICK

Provider Business Mailing Address
First Line	:	2480 OAKTREE PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2963
Country	:	US
Telephone Number	:	513-227-6830
Fax Number	:

Provider Business Practice Location Address
First Line	:	2480 OAKTREE PL
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-2963
Country	:	US
Telephone Number	:	513-227-6830
Fax Number	:

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	01/29/2024

Similar Medicare Providers

1396626990 — MS. STEPHANIE LOUISE CHATMAN
Practice Location Address:

2963 FOURTOWERS DR APT 4
CINCINNATI, OH
45238-2554

Practice Phone: 267-606-5304
Practice Fax:

1942167614 — MADELINE SERVELLO
Practice Location Address:

3160 LINWOOD AVE APT 109
CINCINNATI, OH
45208-2963

Practice Phone: 508-440-1460
Practice Fax:

1255274494 — ROBERT MARSHALL
Practice Location Address:

4973 GLENWAY AVE
CINCINNATI, OH
45238-3907

Practice Phone: 513-386-9362
Practice Fax:

1538551825 — MRS. LISA ADAMS PHARMD
Practice Location Address:

5080 DELHI AVE
CINCINNATI, OH
45238-5343

Practice Phone: 513-451-7050
Practice Fax: 513-451-0172

1801725577 — BRYAN STALEY
Practice Location Address:

3650 MUDDY CREEK RD STE 100
CINCINNATI, OH
45238-2058

Practice Phone: 513-347-0375
Practice Fax:

1518359926 — LAWRENCE R NUSS RPH
Practice Location Address:

5080 DELHI RD
CINCINNATI, OH
45238-5343

Practice Phone: 513-451-7050
Practice Fax: 513-451-0172

Directions to “ KEITH MCCORMICK ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.