Organization
CREDO CARE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN KOKENGE RN, MSN, APRN (MEDICAL DIRECTOR)
(513) 807-2323
Entity
Organization
Contact information
Practice address
6 BIG OAK LN, MILFORD, OH 45150-1418
(513) 807-2323
Mailing address
6 BIG OAK LN, MILFORD, OH 45150-1418
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP03210
OH
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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