IndividualActive
Kenelm Mccormick, M.D.
NPI 1205922895 · Hospice and Palliative Medicine (Family Medicine) Physician · Cleveland, OH
Provider details
- NPI number
- 1205922895
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35058973 (OH)
Practice location
17876 Saint Clair Ave
Cleveland, OH 44110-2602
Phone: (216) 383-2222
Fax: (330) 722-5266
Mailing address
17876 Saint Clair Ave
Cleveland, OH 44110-2602
Registry dates
- Enumerated
- 2006-10-04
- Last updated
- 2017-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.