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Organization

EPMG OF OHIO INC P A

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER KENNEDY (AUTHORIZED OFFICIAL)
(207) 807-9009
Entity
Organization

Contact information

Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2640
(954) 939-5000
(877) 250-6889
Mailing address
PO BOX 80303, PHILADELPHIA, PA 19101-1303
(954) 939-5000
(877) 250-6889

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
06/12/2006
Last updated
08/04/2025
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