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NPI Code Detail

MEDICARE: JASMINE J KENNEDY

MEDICARE:   JASMINE J KENNEDY
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
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1356156616
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE J KENNEDY
Provider Business Mailing Address
First Line : 2868 COMPTON RD # 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-2634
Country : US
Telephone Number : 513-712-8182
Fax Number :
Provider Business Practice Location Address
First Line : 2868 COMPTON RD # 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45251-2634
Country : US
Telephone Number : 513-712-8182
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2025
Last Update Date : 02/12/2025

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Directions to “ JASMINE J KENNEDY ” Practice Location

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