Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH PAUL BODINE JR.
ActiveKENNETH PAUL BODINE JR. is a Peer Specialist healthcare provider located in ASHTABULA, Ohio. NPI 1417682790 is currently active in the NPPES registry. Verify at CMS.
Peer Specialist · ASHTABULA, OH
Registration Details
- NPI Number
- 1417682790
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 20, 2022 (4.0935274263941 yrs)
- Last Updated
- Jul 20, 2022
Practice Information
- Address
-
2801 C CTASHTABULA, OH, 440044577Browse OH providers · Browse ZIP 44004
- Phone
- 4409980722
- Primary Specialty
-
Peer Specialist
175T00000X
Other Peer Specialist Providers in ASHTABULA, OH
| Name | Credential | NPI |
|---|---|---|
| ANGEL-DAWN WHEELER | — | 1689290546 |
| STEVIE LYNN GIBSON | — | 1538787007 |
| AMANDA M BAKER | — | 1023601820 |
| SHANNON ELIZABETH STEVENS | — | 1306593827 |
| JENNIFER RILEY | — | 1215639729 |
| MARISSA DEMARCO | — | 1811679699 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.