Individual
DR. JAMES MICHAEL KENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 862-0774
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
34-009065
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0104649
—
OH
01
—
1477845105
BWC
OH
Enumeration date
05/13/2011
Last updated
12/27/2021
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