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NPI Code Detail

MEDICARE: IKRON CORPORATION

MEDICARE: IKRON CORPORATION
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
1261QM0850XAdult Mental Health Clinic/Center0317OH

General Provider Information

NPI Number : 1770540148
Entity Type Code : Organization
Provider Name (Legal Business Name) : IKRON CORPORATION
Provider Business Mailing Address
First Line : 2347 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-1745
Country : US
Telephone Number : 513-621-1117
Fax Number : 513-621-2350
Provider Business Practice Location Address
First Line : 2347 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45219-1745
Country : US
Telephone Number : 513-621-1117
Fax Number : 513-621-2350
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. RANDY E STRUNK
Credential : MA, LPCC
Telephone Number : 513-621-1117
Provider Enumeration Date : 04/28/2006
Last Update Date : 08/22/2020

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Directions to “IKRON CORPORATION ” Practice Location

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