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Organization
CAROLINE H KENNEBECK MD INC
Active
Organization
CAROLINE H KENNEBECK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS ANN SEWAK (SEC. OF CORP.)
(937) 435-6222
Entity
Organization
Contact information
Practice address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
Mailing address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35086104
OH
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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