Individual
CALEB A KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4201
(220) 564-4219
Mailing address
1320 W MAIN ST, NEWARK, OH 43055-1822
(220) 564-4201
(220) 564-4219
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.154451
OH
207L00000X
Anesthesiology Physician
58148
KY
207L00000X
Anesthesiology Physician
71867
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2019
Last updated
10/10/2025
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