Doctor Name: | DR. FRANK KENNER |
NPI Number: | 1003213844 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | |
Business Practice Address: | 2500 Metrohealth Dr Cleveland, OH - 441091900 |
Business Phone Number: | 2167787800 |
Business Fax Number: | |
Mailing Address: | 2500 Metrohealth Dr, CLEVELAND |
State: | OH |
Postal Code: | 441091900 |
Phone Number: | 2167787800 |
Fax Number: | |
NPI Enumeration Date: | 11/21/2014 |
NPI Last Update Date: | 01/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TR0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Rehabilitation |
Taxonomy Definition: |