MEDICARE: JAMES EDWARDS-KENION

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	101YP2500X	Professional Counselor	E.2606518	OH

General Provider Information

NPI Number	:	1184376782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES EDWARDS-KENION

Provider Business Mailing Address
First Line	:	2438 ENGLAND AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1321
Country	:	US
Telephone Number	:	937-776-7470
Fax Number	:

Provider Business Practice Location Address
First Line	:	2438 ENGLAND AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-1321
Country	:	US
Telephone Number	:	937-776-7470
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	03/30/2026

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