Healthcare Provider Details

I. General information

NPI: 1962638445
Provider Name (Legal Business Name): ERIN E KENNEDY CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERIN E SILVA CNP

II. Dates (important events)

Enumeration Date: 06/10/2009
Last Update Date: 04/08/2021
Certification Date: 04/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US

IV. Provider business mailing address

4777 E GALBRAITH RD
CINCINNATI OH
45236-2725
US

V. Phone/Fax

Practice location:
  • Phone: 513-829-1700
  • Fax: 513-829-5333
Mailing address:
  • Phone: 513-829-1700
  • Fax: 513-829-5333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.319860-COA1
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAPRN.CNP.10755
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: