Individual
JEFFREY RUSSELL TENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D. PHD
Contact information
Practice address
3333 BURNET AVENUE, ML 5018, CINCINNATI, OH 45229-3039
(513) 636-4315
(513) 636-7905
Mailing address
3333 BURNET AVENUE, ML 5018, CINCINNATI, OH 45229-3039
(513) 636-4315
(513) 636-7905
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35.096896
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/30/2007
Last updated
07/06/2011
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