Provider Demographics
NPI:1669859260
Name:ZELEPUHIN, INESA (LAC, DIPL AC)
Entity Type:Individual
Prefix:
First Name:INESA
Middle Name:
Last Name:ZELEPUHIN
Suffix:
Gender:F
Credentials:LAC, DIPL AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7369 E KEMPER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-3008
Mailing Address - Country:US
Mailing Address - Phone:513-288-4448
Mailing Address - Fax:
Practice Address - Street 1:7369 E KEMPER RD
Practice Address - Street 2:SUITE A
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-3008
Practice Address - Country:US
Practice Address - Phone:513-288-4448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-03
Last Update Date:2015-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH65.000297171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist