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Kenelm Mccormick

Family Doctor Family Doctor - Hospice and Palliative Medicine

17876 Saint Clair Ave
Cleveland , Ohio 44110-2602

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Image

Kenelm Mccormick

Family Doctor Family Doctor - Hospice and Palliative Medicine

17876 Saint Clair Ave
Cleveland , Ohio 44110-2602

(330) 722-5266

Write a Review Save Call

Kenelm Mccormick

Family Doctor Family Doctor - Hospice and Palliative Medicine

17876 Saint Clair Ave
Cleveland , Ohio 44110-2602

(330) 722-5266 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Family Doctor
  • Family Doctor - Hospice and Palliative Medicine

Languages spoken

  • English

Location

17876 Saint Clair Ave Cleveland , Ohio 44110-2602

First Address

  • Kenelm Mccormick
  • 17876 Saint Clair Ave
  • Cleveland, OH
  • Zip : 44110-2602
  • Fax : (330) 722-5266
  • Phone : (216) 383-2222

Second Address

  • Kenelm Mccormick
  • 17876 Saint Clair Ave
  • Cleveland, OH
  • Zip : 44110-2602
  • Fax : (330) 722-5266
  • Phone : (216) 383-2222

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FAQs


Where did Kenelm Mccormick attend graduate school?

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Where did Kenelm Mccormick do his residency?

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Where did Kenelm Mccormick do his fellowship?

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Is Kenelm Mccormick board certified?

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What type of doctor is Kenelm Mccormick

Family Doctor - Hospice and Palliative Medicine

In what state does Kenelm Mccormick practice in?

Ohio

Where is Kenelm Mccormick ’s practice located?

17876 Saint Clair Ave , Cleveland, Ohio, 44110-2602

What is Kenelm Mccormick ’s gender?

Male

Is Kenelm Mccormick a sole practitioner?

No

Is Kenelm Mccormick accepting new patients?

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What languages does Kenelm Mccormick speak?

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Does Kenelm Mccormick accept insurance?

Yes, Kenelm Mccormick accepts insurance

Does Kenelm Mccormick offers telemedicine?

Kenelm Mccormick has not indicated if he offers telemedicine

What is Kenelm Mccormick ’s professional license number?

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What is Kenelm Mccormick ’s NPI number?

1205922895

Does Kenelm Mccormick have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Q00000X Family Doctor 35058973 OH
Y 207QH0002X Family Doctor - Hospice and Palliative Medicine 35058973 OH

National Provider Identifier

NPI 1205922895
Provider Name Kenelm Mccormick
First Address Cleveland, OH 44110-2602
Second Address Cleveland, OH 44110-2602
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 04/10/2006
Last Update Date 09/12/2017

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
000000380130 ANTHEM (01) OH
0824433 (05) OH
E81744 (02) OH

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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