| Kenvic Inc | |
|
1 Elizabeth Pl Sixth Floor Dayton OH 45408-1445 | |
| (937) 222-5963 | |
| Not Available |
| Full Name | Kenvic Inc |
|---|---|
| Speciality | Hospitalist |
| Location | 1 Elizabeth Pl, Dayton, Ohio |
| Authorized Official Name and Position | Charles Onwe (PRESIDENT) |
| Authorized Official Contact | 9176081450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenvic Inc Po Box 3363 Dublin OH 43016-0170 Ph: (917) 608-1450 | Kenvic Inc 1 Elizabeth Pl Sixth Floor Dayton OH 45408-1445 Ph: (937) 222-5963 |
| NPI Number | 1003024480 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003024480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 35-08-5444 (Ohio) | Primary |
| 208M00000X | Hospitalist | 35-08-5444 (Ohio) | Primary |
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