Individual
DR. PETER MATTHEW KENNEDY DE BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, MLC 7015, CINCINNATI, OH 45229-3026
(513) 636-4266
(513) 636-3549
Mailing address
3333 BURNET AVE, MLC 7015, CINCINNATI, OH 45229-3026
(513) 636-4266
(513) 636-3549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD431979
PA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
35.120364
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075806
—
OH
Enumeration date
06/29/2007
Last updated
12/20/2016
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