Denise R Kennedy, MD | |
4790 Cottonville Rd, Jamestown, OH 45335-1518 | |
(937) 675-2870 | |
(937) 675-2873 |
Full Name | Denise R Kennedy |
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Gender | Female |
Speciality | Family Medicine |
Location | 4790 Cottonville Rd, Jamestown, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326066713 | NPI | - | NPPES |
2622773 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ME122127 (Florida) | Secondary |
207Q00000X | Family Medicine | 35.084408 (Ohio) | Primary |
Entity Name | Alliance Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
Mailing Address | Practice Location Address |
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Denise R Kennedy, MD 4790 Cottonville Rd, Jamestown, OH 45335-1518 Ph: (937) 675-2870 | Denise R Kennedy, MD 4790 Cottonville Rd, Jamestown, OH 45335-1518 Ph: (937) 675-2870 |
Aleena Nicole Slone, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 Cottonville Rd Ste 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 | |
Krysta Mychal Cooper, APRN, CNP Family Medicine Medicare: Medicare Enrolled Practice Location: 4790 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-2870 Fax: 937-675-2873 | |
David P Buck, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 Cottonville Rd, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 | |
Brian Scott Jenks, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335 Phone: 937-675-6830 | |
James Halderman, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 Cottonville Rd, Suite 100, Jamestown, OH 45335 Phone: 937-675-6830 Fax: 937-675-6835 |