Provider Demographics
NPI:1346492659
Name:KIDS & FAMILY, LLC
Entity Type:Organization
Organization Name:KIDS & FAMILY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:I
Authorized Official - Last Name:KALEEM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:513-734-9200
Mailing Address - Street 1:PO BOX 636263
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:513-891-1006
Mailing Address - Fax:513-793-1032
Practice Address - Street 1:720 W PLANE ST
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:OH
Practice Address - Zip Code:45106-8339
Practice Address - Country:US
Practice Address - Phone:513-734-9200
Practice Address - Fax:513-734-9300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-17
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2947824Medicaid
OH9380781Medicare PIN