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1346439312
KEITH LUCKETT
CINCINNATI, OH
NPI
1346439312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: OH 35.094299)
Enumeration Date
2007-10-16
Last Update Date
2022-11-10
Business Address
KEITH LUCKETT MD
3235 EDEN AVE. MAIL LOCATION 0560
CINCINNATI, OH 45219-0560
Phone number: 513-584-6977
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Mailing Address
KEITH LUCKETT MD
PO BOX 636256 CENTRAL CREDENTIALING
CINCINNATI, OH 45263-6256
Phone number: 513-585-5504
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