Kennedy, Denise R

Kennedy, Denise R is an individual health care provider with primary practice located at 4790 Cottonville Rd , Jamestown OH 45335-1518. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kennedy, Denise R can be contacted via phone (937) 675-2870.

Contact Information

Primary practice address
4790 Cottonville Rd Jamestown OH 45335-1518
Phone: (937) 675-2870
Fax: (937) 675-2873
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME122127 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.084408 Ohio

Profile Details

NPI number 1326066713
LBN Legal business name Kennedy, Denise R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jan 20th, 2021 - about 4 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 1326066713 NPPES
Ohio MEDICAID 2622773

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