Mccormick, Kenelm

Mccormick, Kenelm is an individual health care provider with primary practice located at 17876 Saint Clair Ave , Cleveland OH 44110-2602. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Mccormick, Kenelm can be contacted via phone (216) 383-2222.

Contact Information

Primary practice address
17876 Saint Clair Ave Cleveland OH 44110-2602
Phone: (216) 383-2222
Fax: (330) 722-5266
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35058973 Ohio
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 35058973 Ohio

Profile Details

NPI number 1205922895
LBN Legal business name Mccormick, Kenelm
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 9th, 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 1205922895 NPPES
Ohio MEDICAID 0824433
Ohio Other 000000380130

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