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NPI Code Detail

MEDICARE: J.KEVIN KINGTON MD

MEDICARE: J.KEVIN KINGTON 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
1207V00000XObstetrics & Gynecology Physician35058219OH

Other Identifiers

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

General Provider Information

NPI Number : 1477509099
Entity Type Code : Individual
Provider Name (Legal Business Name) : J.KEVIN KINGTON MD
Provider Business Mailing Address
First Line : 4280 REEDBURY LN
Second Line :
City : COLUMBUS
State : OH
Zip : 43220-3978
Country : US
Telephone Number : 614-442-0713
Fax Number :
Provider Business Practice Location Address
First Line : 500 S CLEVELAND AVE
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-8971
Country : US
Telephone Number : 614-898-4000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2006
Last Update Date : 01/15/2008

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