Individual
KELLENE M. LENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3301 MERCY HEALTH BOULEVARD, SUITE 340, CINCINNATI, OH 45211-1112
(513) 981-5922
(513) 385-6430
Mailing address
3301 MERCY HEALTH BOULEVARD, SUITE 340, CINCINNATI, OH 45211-1112
(513) 981-5922
(513) 385-6430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35069309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036648
—
OH
01
—
P00919628
MEDICARE RR
OH
Enumeration date
05/31/2006
Last updated
09/26/2018
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