MEDICARE: 022808 KENWOOD LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QE0700X	End-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number	:	1083870406
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	022808 KENWOOD LLC

Provider Business Mailing Address
First Line	:	8251 PINE RD STE 110
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2193
Country	:	US
Telephone Number	:	513-745-0800
Fax Number	:	513-745-9108

Provider Business Practice Location Address
First Line	:	8251 PINE RD STE 110
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-2193
Country	:	US
Telephone Number	:	513-745-0800
Fax Number	:	513-745-9108

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY L. BLANTON
Credential	:
Telephone Number	:	781-699-9000

Provider Enumeration Date	:	08/05/2008
Last Update Date	:	10/17/2023

Similar Medicare Providers

1235499401 — DR. KELLY DUFFNER D.C.
Practice Location Address:

1429 SPRINGFIELD PIKE STE C
CINCINNATI, OH
45215-2193

Practice Phone: 513-445-4808
Practice Fax: 513-445-4808

1699250175 — SPINE WHISPERER LLC
Practice Location Address:

1429 SPRINGFIELD PIKE STE C
CINCINNATI, OH
45215-2193

Practice Phone: 513-445-4808
Practice Fax: 513-434-3627

1598602815 — OLIVIA KRYGOWSKI
Practice Location Address:

THE JEWISH HOSPITAL 4777 E. GALBRAITH ROAD
CINCINNATI, OH
45236

Practice Phone: 513-853-8884
Practice Fax:

1093135907 — DR. JAMES TREVOR STEFANSKI M.D.
Practice Location Address:

4700 E GALBRAITH RD STE 300A
CINCINNATI, OH
45236-2754

Practice Phone: 513-347-9999
Practice Fax: 513-792-3239

1376470427 — MRS. LISA KELLY PT, DPT
Practice Location Address:

8044 MONTGOMERY RD STE 160
CINCINNATI, OH
45236-2955

Practice Phone: 513-832-8009
Practice Fax: 844-744-1243

1073440012 — JULIET H FANNING
Practice Location Address:

8044 MONTGOMERY RD STE 120
CINCINNATI, OH
45236-2919

Practice Phone: 513-706-7111
Practice Fax:

Directions to “022808 KENWOOD LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.