Kennedy, Matthew

Kennedy, Matthew is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Kennedy, Matthew can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X C.1700017-TRNE Ohio

Profile Details

NPI number 1558874099
LBN Legal business name Kennedy, Matthew
Credentials CT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 7 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 1558874099 NPPES
Ohio Other 0074946 ODMH
Ohio Other 01-0693 ODMH
Ohio Other 0074861 ODMH
Ohio Other H130910 ODMH

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