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NPI Code Detail

MEDICARE: STEPHANIE L KENNEDY

MEDICARE: STEPHANIE L 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
1104100000XSocial WorkerS.2613910OH

General Provider Information

NPI Number : 1770370389
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE L KENNEDY
Provider Business Mailing Address
First Line : 603 RIDGEWOOD AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-3249
Country : US
Telephone Number : 513-349-0654
Fax Number :
Provider Business Practice Location Address
First Line : 8809B CINCINNATI DAYTON RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-3134
Country : US
Telephone Number : 513-360-8205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2025
Last Update Date : 05/23/2026

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Directions to “ STEPHANIE L KENNEDY ” Practice Location

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