De Blank, Peter Matthew Kennedy

De Blank, Peter Matthew Kennedy is an individual health care provider with primary practice located at 3333 Burnet Ave Mlc 7015, Cincinnati OH 45229-3026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology. Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology is his primary health care specialty. De Blank, Peter Matthew Kennedy can be contacted via phone (513) 636-4266.

Contact Information

Primary practice address
3333 Burnet Ave Mlc 7015 Cincinnati OH 45229-3026
Phone: (513) 636-4266
Fax: (513) 636-3549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD431979 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 35.120364 Ohio

Profile Details

NPI number 1841497187
LBN Legal business name De Blank, Peter Matthew Kennedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2007
Last updated Dec 20th, 2016 - about 8 years ago

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 1841497187 NPPES
Ohio MEDICAID 0075806

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