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Matthew Kennedy, CT
Student in an Organized Health Care Education/Training Program in Middletown, Ohio
NPI 1558874099

Matthew Kennedy is a Student in an Organized Health Care Education/Training Program based in Middletown, OH. Matthew Kennedy practices in Middletown, OH and has the professional credentials of CT. The NPI Number for Matthew Kennedy is 1558874099 and holds a License No. C.1700017-TRNE (Ohio).

The current practice location address for Matthew Kennedy is 4464 S Dixie Hwy, Middletown, OH and can be reached out via phone at 513-649-8008 and via fax at 513-649-8004.

Location: 4464 S Dixie Hwy, Middletown, OH, 45005-5464
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558874099
Provider Name
Matthew Kennedy
Credential
CT
Provider Entity Type
Individual
Gender
Male
Address
4464 S Dixie Hwy, Middletown, OH, 45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
Provider Enumeration Date
11/07/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0074946 01 OH ODMH
01-0693 01 OH CARF
0074861 01 OH ODADAS
H130910 01 OH PTAN
institution
Provider Business Practice Location Address Details
Address
4464 S Dixie Hwy
City
Middletown
State
Ohio
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider Business Mailing Address Details
Address
4464 S Dixie Hwy
City
Middletown
State
Ohio
Zip
45005-5464
Phone Number
513-649-8008
Fax Number
513-649-8004
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C.1700017-TRNE (Ohio)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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