Organization
NORTHEAST ORTHOPEDICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLE KENNEDY MD (PHYSICIAN)
(614) 839-2300
Entity
Organization
Contact information
Practice address
164 WETHERBY LN, WESTERVILLE, OH 43081-4957
(614) 839-2300
(614) 839-2301
Mailing address
164 WETHERBY LN, WESTERVILLE, OH 43081-4957
(614) 839-2300
(614) 839-2301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2303064
—
OH
01
—
5126128
AETNA
—
Enumeration date
12/18/2006
Last updated
06/05/2008
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