Individual provider · Type 1 NPI

Kennedy Annia Haithcock

Psychiatric/Mental Health Registered Nurse · Toledo, OH

NPI number 1790622074 Active

Practice location

544 E Woodruff Ave
Toledo, OH 43604-5342

Call (419) 242-9577 Map

Fax (419) 936-7606

Mailing address

1425 Starr Ave
Toledo, OH 43605-2456

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Registered Nurse Primary	163WP0808X	RN.532751 (OH)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1790622074

Kennedy Annia Haithcock's National Provider Identifier is 1790622074, issued on May 4, 2026. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Toledo, OH. The record was last updated on May 4, 2026.