Kennedy, George Mitchell

Kennedy, George Mitchell is an individual health care provider with primary practice located at 3545 Olentangy River Rd Suite 525, Columbus OH 43214-3907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kennedy, George Mitchell can be contacted via phone (614) 261-1900.

Contact Information

Primary practice address
3545 Olentangy River Rd Suite 525 Columbus OH 43214-3907
Fax: (614) 261-7538
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35065046 Ohio

Profile Details

NPI number 1699774448
LBN Legal business name Kennedy, George Mitchell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 25th, 2007 - about 17 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 1699774448 NPPES
Ohio MEDICAID 0919966

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