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NPI Code Detail

MEDICARE: KENNETH ALAN MANKOWSKI DO

MEDICARE: KENNETH ALAN MANKOWSKI DO
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
12084N0400XNeurology Physician02008776AIN
22084N0400XNeurology Physician34007527MOH

General Provider Information

NPI Number : 1942261243
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNETH ALAN MANKOWSKI DO
Provider Business Mailing Address
First Line : 5762 N HAMILTON ROAD
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-1326
Country : US
Telephone Number : 614-961-4620
Fax Number : 614-961-4569
Provider Business Practice Location Address
First Line : 17840 CUMBERLAND RD
Second Line :
City : NOBLESVILLE
State : IN
Zip : 46060-5409
Country : US
Telephone Number : 317-574-1254
Fax Number : 317-674-0060
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2006
Last Update Date : 05/07/2026

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Directions to “ KENNETH ALAN MANKOWSKI DO” Practice Location

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