C. Elizabeth Mckinivan MD

NPI 1033114772 - Pediatrics - 208000000X

NPI Details
NPI 1033114772
Gender Female
Enumeration Date 06/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
4357 FERGUSON DR
STE 150
CINCINNATI OH, 45245-1684, US
Phone (513) 753-2820
Fax (513) 753-2824
Business Location
4357 FERGUSON DR
STE 150
CINCINNATI OH, 45245-1684, US
Phone (513) 753-2820
Fax (513) 753-2824
Toxanomy
Taxonomy Code 208000000X
License State Ohio
License Number 35036568
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According to our database, C. Elizabeth Mckinivan MD NPI is 1033114772, taxonomy code is 208000000X and license number is 35036568, license state is located at Ohio. C. Elizabeth Mckinivan MD physically located at 4357 Ferguson Dr, Cincinnati OH, 45245-1684. NPI Number C. Elizabeth Mckinivan MD has the Individual type.

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1033114772 NPI number is provided on an as is basis without warranty of any kind. 1033114772 is maintained by the National Plan & Provider Enumeration System. The contents of C. Elizabeth Mckinivan MD are for informational purposes only.