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NPI Code Detail

MEDICARE: KEVIN FREDERICK SUNSHEIN D.P.M.

MEDICARE:   KEVIN FREDERICK SUNSHEIN  D.P.M.
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
1213E00000XPodiatrist36002266OH

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 : 1538164348
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN FREDERICK SUNSHEIN D.P.M.
Provider Business Mailing Address
First Line : 6474 CENTERVILLE BUSINESS PKWY
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2633
Country : US
Telephone Number : 937-435-7477
Fax Number : 937-435-6644
Provider Business Practice Location Address
First Line : 6474 CENTERVILLE BUSINESS PKWY
Second Line :
City : CENTERVILLE
State : OH
Zip : 45459-2633
Country : US
Telephone Number : 937-435-7477
Fax Number : 937-435-6644
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 03/22/2016

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