Individual
KEVIN CREEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1601 BRIGHAM DR STE 150, PERRYSBURG, OH 43551-7120
(419) 794-7700
(419) 794-7715
Mailing address
1601 BRIGHAM DR STE 150, PERRYSBURG, OH 43551-7120
(419) 794-7700
(419) 794-7715
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.020424
OH
363L00000X
Nurse Practitioner
RN.365677
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
LICENSE-APRN.CNP
OH
05
—
PENDING
—
OH
Enumeration date
02/13/2017
Last updated
08/11/2025
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