Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 35.095076 | OH |
N | 207X00000X | Orthopaedic Surgeon | 57.010272 | OH |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 35.095076 | OH |
NPI | 1881894178 |
---|---|
Provider Name | Dr. Kenneth Thomas Bono |
First Address | Akron, OH 44308-1063 |
Second Address | Akron, OH 44308-1063 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2007 |
Last Update Date | 15/03/2021 |