Kevin Kendzierski in Toledo - Addiction Medicine
Kevin Kendzierski - NPI 1629053681
Kevin Kendzierski is a Addiction Medicine in Toledo, Ohio. Kevin Kendzierski practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Kevin Kendzierski is 1629053681. The last update date is 2018-08-29.
Kevin Kendzierski's current location address is 3440 Island Ave, Toledo, Ohio. You can contact this provider via phone number 4193401289 and fax number 4199724203. The mailing address for Kevin Kendzierski is 3440 Island Ave, Toledo, Ohio. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kevin Kendzierski |
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Address | 3440 Island Ave, Toledo, Ohio |
Phone Number | 4193401289 |
Fax Number | 4199724203 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1629053681 |
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Provider Enumeration Date | 2005-12-13 |
Last Updated Date | 2018-08-29 |
Provider Mailing Address Detail
Address | 3440 Island Ave |
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City | Toledo |
State | Ohio (OH) |
Post Code | 436144343 |
Phone Number | 4193401289 |
Fax Number | 4199724203 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Qa0401X |
Licence No | 35.080641 |
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
104719902 | MI | -- | |
2426860 | OH | -- | |
605424 | OH | BUCKEYE | |
213037 | OH | ANTHEM | |
80139052 | OH | RAILROAD MEDICARE | |
1973 | OH | PARAMOUNT |
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What is the unique 10-digit identifier code assigned to Kevin Kendzierski by the Centers for Medicare & Medicaid Services?
The Kevin Kendzierski has been issued the NPI (National Provider Identifier) 1629053681 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Kevin Kendzierski located?
The Kevin Kendzierski is located at 3440 Island Ave, Toledo, OH 436144343.
What is Kevin Kendzierski's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Kendzierski's specialized field of practice is Addiction Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0401X.
When did Kevin Kendzierski receive its 1629053681 assignment?
The Kevin Kendzierski was assigned its 1629053681 on 2005-12-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Kevin Kendzierski, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kevin Kendzierski, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-08-29.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN