Dr. Peter Matthew Kennedy De Blank
M.D. | Pediatric Hematology-Oncology | Male
Dr. Peter Matthew Kennedy De Blank, M.D. is a Cincinnati, Ohio based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Peter Matthew Kennedy De Blank is
3333 Burnet Ave, Mlc 7015, Cincinnati, Ohio - 45229-3026. He can be contacted on phone at
513-636-4266 and fax number 513-636-3549.
Dr. Peter Matthew Kennedy De Blank is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Peter Matthew Kennedy De Blank is
1841497187 which was assigned by NPPES on 29 Jun, 2007 and it was last updated on 20 Dec, 2016.
Dr. Peter Matthew Kennedy De Blank license number is
35.120364 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Ohio.
Dr. Peter Matthew Kennedy De Blank is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Peter Matthew Kennedy De Blank basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Peter Matthew Kennedy De Blank |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Peter Matthew Kennedy De Blank address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 3333 Burnet Ave, Mlc 7015
Cincinnati, OH, 45229-3026
United States |
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| Phone Number : | 513-636-4266 |
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| Fax Number : | 513-636-3549 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1841497187 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Jun, 2007 |
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| Last Updated On : | 20 Dec, 2016 |
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Medicare Participation:
Dr. Peter Matthew Kennedy De Blank participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7517119035 |
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| Medicare Enrollment ID : | I20121210000152 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Un Of California, Irvine, College Of Medicine |
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| Graduation Year : | 2005 |
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| Accepts Medicare? | Yes. Dr. Peter Matthew Kennedy De Blank accepts medicare insurance. |
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Group Practice Association:
Dr. Peter Matthew Kennedy De Blank is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Peter Matthew Kennedy De Blank is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Children's Hospital Medical Center | 8426955733 | 495 | 3333 Burnet Ave
Cincinnati, OH - 452293026
Ph: 5136364200 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Peter Matthew Kennedy De Blank are as mentioned. Primary taxonomy code for Dr. Peter Matthew Kennedy De Blank, M.D. is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | MD431979 | PA |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 35.120364 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Peter Matthew Kennedy De Blank such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0075806 | MEDICAID | OH | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 3333 Burnet Ave, Mlc 7015
Cincinnati, OH, 45229-3026
United States |
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| Phone Number : | 513-636-4266 |
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| Fax Number : | 513-636-3549 |
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Business Location:
Patients can refer following map for directions to
Dr. Peter Matthew Kennedy De Blank practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.