Kenvic Inc

NPI 1003024480 - Internal Medicine - 207R00000X

NPI Details
NPI 1003024480
Enumeration Date 05/18/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CHARLES CHARLES
Position PRESIDENT
Phone (937) 222-5963
Fax
Practice Location
1 ELIZABETH PL
SIXTH FLOOR
DAYTON OH, 45408-1445, US
Phone (937) 222-5963
Fax
Business Location
PO BOX 3363
DUBLIN OH, 43016-0170, US
Phone (917) 608-1450
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Ohio
License Number 35-08-5444
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According to our database, Kenvic Inc NPI is 1003024480, taxonomy code is 207R00000X and license number is 35-08-5444, license state is located at Ohio. Kenvic Inc physically located at 1 Elizabeth Pl, Dayton OH, 45408-1445. NPI Number 1033115704 has the healthcare provider type.

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1003024480 NPI number is provided on an as is basis without warranty of any kind. 1003024480 is maintained by the National Plan & Provider Enumeration System. The contents of Kenvic Inc are for informational purposes only.