Kennedy D Banks

Individual provider Active NPI Case Manager/Care Coordinator · Columbus, OH

NPI 1346922192 · NPPES record last updated Aug 2, 2023

Key facts

NPI
1346922192
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1490 E Main St
Columbus, OH 43205-2140
Phone
(614) 252-0731
NPI assigned
Aug 2, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1490 E Main St
Columbus, OH 43205-2140

Mailing address

1490 E Main St
Columbus, OH 43205-2140

Other providers in Columbus, OH

All providers in Columbus, OH · Case Manager/Care Coordinator in Ohio

Sources for this page

Verify at the official NPI Registry.