Active NPI
Kenevil Taylor
- Driver
- Canal Fulton, OH
National Provider Identifier
1780490961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- RR362794
- Practice address
- 940 Colonial Ave
Canal Fulton, OH 44614-9168 - Phone
- (330) 312-0319
- NPI assigned
- Dec 3, 2024
- Last updated
- Dec 3, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | RR362794 | OH | Primary |
Addresses
Primary practice location
940 Colonial Ave
Canal Fulton, OH 44614-9168
Mailing address
940 Colonial Ave
Canal Fulton, OH 44614-9168
Phone (330) 312-0319
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RR362794 | OH | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1780490961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 COLONIAL AVE",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446149168",
"telephone_number": "330-312-0319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 COLONIAL AVE",
"city": "CANAL FULTON",
"state": "OH",
"postal_code": "446149168",
"telephone_number": "330-312-0319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYLOR",
"first_name": "KENEVIL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-03",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "OH",
"license": "RR362794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canal Fulton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.