Doctor Name: | MR. KENNETH NELSON ABNEY |
NPI Number: | 1104922723 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | NONE |
Business Practice Address: | 6593 Trailview Ct Liberty Twp, OH - 450111200 |
Business Phone Number: | 5137599307 |
Business Fax Number: | 5137599307 |
Mailing Address: | 6593 Trailview Ct, LIBERTY TWP |
State: | OH |
Postal Code: | 450111200 |
Phone Number: | 5137599307 |
Fax Number: | 5137599307 |
NPI Enumeration Date: | 09/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | NONE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |