Individual
MICHAEL ROBERT JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
237 WILLIAM HOWARD TAFT RD RM 3-064, CINCINNATI, OH 45219-2610
(513) 263-8590
(513) 272-0362
Mailing address
237 WILLIAM HOWARD TAFT RD RM 3-064, CINCINNATI, OH 45219-2610
(513) 263-8590
(513) 272-0862
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35049135
OH
207R00000X
Internal Medicine Physician
54265
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0678539
—
OH
05
—
64062169
—
KY
Enumeration date
07/01/2005
Last updated
10/21/2020
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