Individual
CAROLINE H KENNEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
(937) 438-8451
Mailing address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
(937) 438-8451
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35086104
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2605738
—
OH
Enumeration date
01/05/2006
Last updated
06/22/2022
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