Individual
KEVIN CREEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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