Kenton Family Practice LLC
Family Medicine in Kenton, OH. Organization (NPI-2).
NPI number1083779110
StatusActive
Last updated in NPPESSep 29, 2010
Details
- NPI
- 1083779110
- Entity type
- Organization (NPI-2)
- Legal business name
- Kenton Family Practice LLC
- Organization subpart
- No
- Enumeration date
- Dec 27, 2006
- Last updated
- Sep 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
75 Washington BlvdKenton, OH 43326-4001
Phone 419-675-1962 · Fax 419-673-8058
Mailing address
Po Box 418Kenton, OH 43326-0418
Phone 419-675-1962 · Fax 419-673-8058
Authorized official
Paul D Wesson
Physician
4196751962
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