Stephanie S Kennebeck

M.D. | Pediatric Emergency Medicine | Female

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Complete Profile:

Stephanie S Kennebeck basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Emergency Medicine
Provider Name :	Stephanie S Kennebeck
Credential :	M.D.
Gender :	Female

Business Address:

Stephanie S Kennebeck 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, Ml 2008 Cincinnati, OH, 45229-3039 United States
Phone Number :	513-636-7966
Fax Number :	513-636-7967

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 :	1114954260
NPI Entity Type :	Individual
First Enrolment Date :	26 Jun, 2006
Last Updated On :	08 Jul, 2007

Medicare Participation:

Stephanie S Kennebeck participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	0749334001
Medicare Enrollment ID :	I20090820000548
Primary Specialty :	Pediatric Medicine
Medical School :	Northwestern University Feinberg Medical School
Graduation Year :	1996
Accepts Medicare?	Yes. Stephanie S Kennebeck accepts medicare insurance.

Group Practice Association:

Stephanie S Kennebeck 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 Stephanie S Kennebeck is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
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 Stephanie S Kennebeck are as mentioned. Primary taxonomy code for Stephanie S Kennebeck, M.D. is 2080P0204X (Pediatrics Pediatric Emergency Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
2080P0204X	Pediatrics Pediatric Emergency Medicine	Yes	35-08-0874	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, Ml 5021 Cincinnati, OH, 45229-3039 United States
Phone Number :	513-636-4225
Fax Number :	513-636-2511

Business Location:

Patients can refer following map for directions to Stephanie S Kennebeck 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.