Kenneth Bodine

NPI 1417682790 · on the registry since 2022

Practice

Address: 2801 C Ct
Ashtabula, OH 44004
Phone: (440) 998-0722
Organisation at this address: Genoa Healthcare Llc
Lake Area Recovery Center
Lake Area Recovery Center
Community Counseling Center Of Ashtabula County
Community Counseling Center Of Ashtabula County
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 259

Registry record

Primary taxonomy: 175T00000X
175T00000X
Licence states on file: NULL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio