Individual
ALEXANDER JAMES KENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3121 W BROAD ST, COLUMBUS, OH 43204-1306
(614) 869-2002
Mailing address
1652 LAUREL AVE, COLUMBUS, OH 43223-2820
(614) 902-9886
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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