NPI 1043415920

Carriage Court Kenwood, LLC

Organisation Point of Service Cincinnati, OH

Practice location

Address: 4650 E Galbraith Rd, Cincinnati, OH 45236-2792
Phone: (513) 792-9697
Fax: (513) 792-9698
Mailing address: 78 Centennial Loop, Eugene, OR 97401-7900

Authorised official

Name: John Holtz
Title: Controller
Phone: (541) 747-3373

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1043415920
Entity type: Organization
NPI issued: 19 Jun 2007
Record last updated: 12 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.