Doctor Name: | DR. KEVIN PETER DALY |
NPI Number: | 1922444884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 35.127699 |
Business Practice Address: | 1101 Summit Rd Cincinnati, OH - 452372621 |
Business Phone Number: | 5139483600 |
Business Fax Number: | 5139488631 |
Mailing Address: | 1101 Summit Rd, CINCINNATI |
State: | OH |
Postal Code: | 452372621 |
Phone Number: | 5139483600 |
Fax Number: | 5139488631 |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 35.127699 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |