MICHAEL KENNIS MD NPI 1215291083

NPI Information

NPI: 1215291083
Provider Name: MICHAEL KENNIS, MD
Classification: Single Specialty - 193400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5300 HARROUN RD
SUITE 304
SYLVANIA, OH
ZIP 43560
Phone: (419) 824-1100
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Michael Kennis, MD is a single specialty in Sylvania, OH. The provider is a business group of one or more individual practitioners, all of who practice with the same area of specialization. Michael Kennis, MD NPI is 1215291083. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5300 HARROUN RD
SUITE 304
SYLVANIA, OH
ZIP 43560-182
Phone: (419) 824-1100
Fax: (419) 824-1771

The NPI 1215291083 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/27/2012 and was last updated on 7/17/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	193400000X	Single Specialty		13784	NORTH DAKOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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