Individual provider · Type 1 NPI

Michael Kennis, MD

Student in an Organized Health Care Education/Training Program · Sylvania, OH

NPI number 1215291083 Active

Practice location

5300 Harroun Rd, Suite 304
Sylvania, OH 43560-2182

Call (419) 824-1100 Map

Fax (419) 824-1771

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000X13784 (ND)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215291083

Michael Kennis, MD's National Provider Identifier is 1215291083, issued on Jun 27, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Sylvania, OH. The record was last updated on Jul 17, 2015.