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NPI Code Detail

MEDICARE: SUSIE H KIM-MAULSBY M.D.

MEDICARE:   SUSIE H KIM-MAULSBY  M.D.
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
12085R0202XDiagnostic Radiology Physician35-078938OH

Other Identifiers

General Provider Information

NPI Number : 1720083041
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSIE H KIM-MAULSBY M.D.
Provider Business Mailing Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number : 513-527-2275
Provider Business Practice Location Address
First Line : 5400 KENNEDY AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2664
Country : US
Telephone Number : 513-281-3400
Fax Number : 513-527-2275
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2005
Last Update Date : 01/28/2013

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Directions to “ SUSIE H KIM-MAULSBY M.D.” Practice Location

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