Kenneth Paul Bodine Jr.

Peer Specialist · Ashtabula, OH

Individual Active NPI

NPI number 1417682790

Practice location

2801 C Ct
Ashtabula, OH 44004-4577
Phone
(440) 998-0722

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NPI record

NPI
1417682790
Entity type
Individual (Type 1)
Enumeration date
July 20, 2022
Last updated
July 20, 2022
Certified
July 20, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Kenneth Bodine

Kenneth Paul Bodine Jr. is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 2801 C Ct, Ashtabula, OH 44004-4577. The NPI number 1417682790 was assigned on July 20, 2022 and the record was last updated on July 20, 2022.

Frequently asked questions

What is the NPI number of Kenneth Paul Bodine Jr.?

The NPI number is 1417682790.

What is the phone number of Kenneth Bodine?

The phone number listed for the practice location is (440) 998-0722.

Where is Kenneth Bodine located?

2801 C Ct, Ashtabula, OH 44004-4577.

What is the taxonomy code for Kenneth Bodine?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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