MEDICARE: JAMES J. KEESLING

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	332B00000X	Durable Medical Equipment & Medical Supplies	HMEL11183	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	HMEL11183	OTHER	OH	ORCB STATE

General Provider Information

NPI Number	:	1396892469
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES J. KEESLING

Provider Business Mailing Address
First Line	:	PO BOX 14385
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45250-0385
Country	:	US
Telephone Number	:	513-542-4900
Fax Number	:	513-542-4900

Provider Business Practice Location Address
First Line	:	1109 ALFRED STREET
Second Line	:	101 B
City	:	CINCINNATI
State	:	OH
Zip	:	45214-1738
Country	:	US
Telephone Number	:	513-542-4900
Fax Number	:	513-542-4900

Authorized Official
Title or Position	:	OFFICE MANAGER - SOLE PROPRIETOR
Name	:	MR. JAMES JOSEPH KEESLING
Credential	:
Telephone Number	:	513-542-4900

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	11/23/2010

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