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NPI Code Detail

MEDICARE: GKB MOBILE MEDICAL SERVICES LLC

MEDICARE: GKB MOBILE MEDICAL SERVICES LLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1457154924
Entity Type Code : Organization
Provider Name (Legal Business Name) : GKB MOBILE MEDICAL SERVICES LLC
Provider Business Mailing Address
First Line : 11144 MULLIGAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2653
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11144 MULLIGAN ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45241-2653
Country : US
Telephone Number : 513-418-3017
Fax Number :
Authorized Official
Title or Position : NURSE PRACTITIONER
Name : VALERIE AKINS
Credential : FNP-CNP
Telephone Number : 513-418-3017
Provider Enumeration Date : 03/31/2025
Last Update Date : 03/31/2025

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Directions to “GKB MOBILE MEDICAL SERVICES LLC ” Practice Location

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