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NPI Code Detail

MEDICARE: KENNETH GEORGE ROSPLOCK M.D.

MEDICARE: KENNETH GEORGE ROSPLOCK 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
1207RN0300XNephrology Physician35097588OH

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 : 1861667644
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH GEORGE ROSPLOCK M.D.
Provider Business Mailing Address
First Line : 805 COLUMBIA RD STE 109
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-1461
Country : US
Telephone Number : 440-799-4224
Fax Number : 440-799-4228
Provider Business Practice Location Address
First Line : 9050 N CHURCH DR
Second Line :
City : PARMA HEIGHTS
State : OH
Zip : 44130-4701
Country : US
Telephone Number : 440-292-0226
Fax Number : 440-292-0225
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2008
Last Update Date : 04/29/2026

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