Perez, Maureen Kennedy

Perez, Maureen Kennedy is an individual health care provider with primary practice located at 1425 N Fairfield Rd. Ste 110, Beavercreek OH 45432-4543. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Perez, Maureen Kennedy can be contacted via phone (937) 426-0106.

Contact Information

Primary practice address
1425 N Fairfield Rd. Ste 110 Beavercreek OH 45432-4543
Phone: (937) 426-0106
Fax: (937) 426-7153
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35057332P Ohio

Profile Details

NPI number 1033174842
LBN Legal business name Perez, Maureen Kennedy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jan 25th, 2021 - about 3 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 1033174842 NPPES
Ohio MEDICAID 0723435

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