Basic Information
Provider Information
NPI: 1831220524
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WHITFIELD KEKESSI
FirstName: REGINA
MiddleName: R
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4685 FOREST AVE
Address2: C
City: CINCINNATI
State: OH
PostalCode: 452123397
CountryCode: US
TelephoneNumber: 5132467000
FaxNumber:  
Practice Location
Address1: 379 DIXMYTH AVE
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452202475
CountryCode: US
TelephoneNumber: 5132467000
FaxNumber: 5132467590
Other Information
ProviderEnumerationDate: 03/07/2007
LastUpdateDate: 04/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X35091067OHN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X01085466AINY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


Home