Individual
DR. MONICA M. KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7495 STATE ROAD, 340, CINCINNATI, OH 45255-6402
(513) 232-3400
(513) 232-1900
Mailing address
7495 STATE ROAD, 340, CINCINNATI, OH 45255-6402
(513) 232-3400
(513) 232-1900
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35053195
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000278038
ANTHEM
OH
05
—
0644897
—
OH
01
—
165950000
MAGELLAN
OH
05
—
7100043180
—
KY
Enumeration date
07/03/2006
Last updated
01/21/2012
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