| NPI | 1982078333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN KOKENGE Medical Director 513-807-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH NP03210) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2015-11-23 |