Individual
KENNETH E MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
395 E MARKET ST, AKRON, OH 44304-1542
(330) 762-8959
(330) 762-9121
Mailing address
395 E MARKET ST, AKRON, OH 44304-1542
(330) 762-8959
(330) 762-9121
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35055364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0666471
—
OH
Enumeration date
11/16/2005
Last updated
12/31/2020
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