Individual
DENISE R KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4790 COTTONVILLE RD, JAMESTOWN, OH 45335-1518
(937) 675-2870
(937) 675-2873
Mailing address
4790 COTTONVILLE RD, JAMESTOWN, OH 45335-1518
(937) 675-2870
(937) 675-2873
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.084408
OH
207Q00000X
Family Medicine Physician
ME122127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2622773
—
OH
Enumeration date
07/17/2006
Last updated
01/20/2021
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