| NPI | 1558550418 |
|---|---|
| Doing Business As | KENMORE FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | SHEILA D LOVETT Office Manager 330-745-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 1643) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2007-10-25 |