MATTHEW KENNEDY CT NPI 1558874099

NPI Information

NPI: 1558874099
Provider Name: MATTHEW KENNEDY, CT
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005
Phone: (513) 649-8008
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Matthew Kennedy, CT is a student in an organized health care education training program in Middletown, OH. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Matthew Kennedy, CT NPI is 1558874099. 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:

4464 S DIXIE HWY
MIDDLETOWN, OH
ZIP 45005-464
Phone: (513) 649-8008
Fax: (513) 649-8004

The enumeration date for this NPI number is 11/7/2017 and was last updated on 11/7/2017.

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		C.1700017-TRNE	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01-0693	OTHER	OHIO	CARF
2	H130910	OTHER	OHIO	PTAN
3	0074861	OTHER	OHIO	ODADAS
4	0074946	OTHER	OHIO	ODMH

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: 11/14/2023

NPI Synchronization or Removal

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