Sally Elizabeth Kennedy
Driver • Mentor, OH
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Sally Kennedy has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Sally Kennedy was a registered Driver practicing in Mentor, OH. Throughout an active medical career spanning 4 years, Sally Kennedy provided care at the practice location at 5894 S SHANDLE BLVD until profile deactivation on 2024-06-12.
Practice Location & Contact Primary Location
5894 S Shandle Blvd
Mentor, OH 440601972
Specialty Benchmarks & Practice Insights
Comparative analytics for Driver in Mentor, OH
Practicing in Mentor, OH (1080 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 172A00000X
A person employed to operate a motor vehicle as a carrier of persons or property.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 12, 2024
NPI status registered as active in NPPES database
Registered at 5894 S SHANDLE BLVD, MENTOR, OH 440601972 (Tel: 4407255317)
Registered at 5894 S SHANDLE BLVD, MENTOR, OH 440601972 (Tel: 4407255317)
Recorded as SALLY KENNEDY
Driver
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
5894 S Shandle Blvd
Mentor, OH 440601972
Phone: 4407255317
This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.