DR. KELLEN BANNON
Emergency Medicine
Active
Individual
NPI: 1649535279
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Emergency Medicine | 207P00000X | Yes | 2855 (TN) |
Frequently Asked Questions
NPI 1649535279 is the National Provider Identifier for DR. KELLEN BANNON, a Emergency Medicine provider located in Toledo, OH. This NPI was enumerated on July 10, 2012.
DR. KELLEN BANNON practices at 2213 CHERRY ST, Toledo, OH 43608.
Quick Facts
- NPI
- 1649535279
- Type
- Individual
- Enumerated
- Jul 10, 2012
- Last Updated
- Oct 25, 2023
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