Provider Demographics
NPI:1073879276
Name:KAPPA, CLAIRE MCMURRIAN (MD)
Entity Type:Individual
Prefix:
First Name:CLAIRE
Middle Name:MCMURRIAN
Last Name:KAPPA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:ELIZABETH
Other - Last Name:MCMURRIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8599 RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-1111
Mailing Address - Country:US
Mailing Address - Phone:888-696-3541
Mailing Address - Fax:
Practice Address - Street 1:8599 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-1111
Practice Address - Country:US
Practice Address - Phone:888-696-3541
Practice Address - Fax:513-418-5773
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-02
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201500776207Q00000X
390200000X
OH35131359207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program