Healthcare Provider Details

I. General information

NPI: 1992611073
Provider Name (Legal Business Name): KENEDI CESNAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4928 SPRING RUN CT APT A
STOW OH
44224-5338
US

IV. Provider business mailing address

4928 SPRING RUN CT APT A
STOW OH
44224-5338
US

V. Phone/Fax

Practice location:
  • Phone: 330-926-8572
  • Fax:
Mailing address:
  • Phone: 330-926-8572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License NumberRN.523733
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN.523733
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: