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Individual

GEORGE MITCHELL KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M D

Contact information

Practice address
3545 OLENTANGY RIVER RD, SUITE 525, COLUMBUS, OH 43214-3907
(614) 261-1900
(614) 261-7538
Mailing address
463 JESSING TRL, COLUMBUS, OH 43235-1474
(614) 885-5578

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35065046
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0919966
OH
Enumeration date
07/14/2005
Last updated
10/25/2007
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