Organization
CAROLINE H KENNEBECK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LOIS ANN SEWAK (SEC. OF CORP.)
(937) 435-6222
Entity
Organization
Contact information
Practice address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
Mailing address
5701 FAR HILLS AVE, DAYTON, OH 45429-2207
(937) 435-6222
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
01
—
CA9356401
MEDICARE GROUP ID
OH
01
—
KE4167291
MEDICARE PROVIDER ID
OH
Enumeration date
07/24/2007
Last updated
07/24/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us