Healthcare Provider Details

I. General information

NPI: 1326974577
Provider Name (Legal Business Name): BRITTANY KENNEDY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 E TALLMADGE AVE
AKRON OH
44310-2373
US

IV. Provider business mailing address

PO BOX 72767
CLEVELAND OH
44192-0004
US

V. Phone/Fax

Practice location:
  • Phone: 330-762-7481
  • Fax:
Mailing address:
  • Phone: 800-860-7373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberAPS.007125
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: