Individual
CAROL A KENNEDY
Active
Individual
CAROL A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34057194
OH
208000000X
Pediatrics Physician
35057194
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000141232
ANTHEM
OH
01
—
00625
PHC
OH
01
—
0634374
AETNA
OH
05
—
0741344
—
OH
01
—
12-01218
UHC
OH
Enumeration date
08/16/2005
Last updated
12/28/2023
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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