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Dr. Kellen Thomas Bannon
Emergency Medicine Physician in Toledo, Ohio
NPI 1649535279

Kellen Thomas Bannon is a Emergency Medicine Physician based in Knoxville, OH. Kellen Thomas Bannon practices in Toledo, OH. The NPI Number for Kellen Thomas Bannon is 1649535279 and holds a License No. (Ohio).

The current practice location address for Kellen Thomas Bannon is 2213 Cherry St, Toledo, OH and can be reached out via phone at 419-251-4724. You can also correspond with Kellen Thomas Bannon through the mailing address at 1901 CLINCH AVE, KNOXVILLE, TN - 37916-2307 (mailing address contact number: 313-674-0200).

Location: 2213 Cherry St, Toledo, OH, 37916-2307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649535279
Provider Name
Kellen Thomas Bannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
2213 Cherry St, Toledo, OH, 37916-2307
Phone Number
419-251-4724
Fax Number
Provider Enumeration Date
07/10/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649535279 05 TN
institution
Provider Business Practice Location Address Details
Address
2213 Cherry St
City
Toledo
State
Ohio
Zip
43608-2603
Phone Number
419-251-4724
Fax Number
person
Provider Business Mailing Address Details
Address
2213 Cherry St
City
Toledo
State
Ohio
Zip
43608-2603
Phone Number
419-251-4724
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
2855 (Tennessee)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
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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