Individual
KENNETH O CAYCE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 OHIOHEALTH BLVD, SUITE 200, DELAWARE, OH 43035
(740) 615-0270
(740) 615-0279
Mailing address
5400 FRANTZ RD, SUITE 250, DUBLIN, OH 43016-4144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35083557
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
35-083557
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
35083557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2589319
—
OH
Enumeration date
06/15/2005
Last updated
01/03/2022
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