Kenneth Paul Bodine JR.

NPI #1417682790 in Ashtabula, Ohio

Provider Information

NPI Number
1417682790
Entity Type
Individual
Name
Kenneth Paul Bodine JR.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Peer Specialist
Enumeration Date
Jul 20, 2022
Last Updated
Jul 20, 2022

Practice Location

Address
2801 C CT
State
Ohio
ZIP Code
44004-4577
Phone
(440) 998-0722

Specialties & Taxonomy Codes

Specialty
Peer Specialist

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