Creedon, Kevin

Creedon, Kevin is an individual health care provider with primary practice located at 5705 Monclova Rd Ste 201 , Maumee OH 43537-1877. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Creedon, Kevin can be contacted via phone (419) 794-7700.

Contact Information

Primary practice address
5705 Monclova Rd Ste 201 Maumee OH 43537-1877
Phone: (419) 794-7700
Fax: (419) 794-7715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN.365677 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.020424 Ohio

Profile Details

NPI number 1063951952
LBN Legal business name Creedon, Kevin
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2017
Last updated Nov 3rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063951952 NPPES
Ohio MEDICAID PENDING
Ohio Other PENDING

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