Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Caleb A Kennon, MD

Individual provider Anesthesiology Physician · NPI 1144789918

Caleb A Kennon, MD is an Anesthesiology in Newark, Ohio. Graduated from University of Missouri, Kansas City, School of Medicine in 2018, 8 years ago. Practices with Licking Memorial Professional Corporation, a 235-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Kentucky, Ohio and Tennessee.

Years since qualifying
8
Trained at
University of Missouri, Kansas City, School of Medicine
Licensed in
KY, OH, TN
In the registry since
2019
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1320 W Main St
Newark, OH 43055-1822
Phone: (220) 564-4201
Fax: (220) 564-4219
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 800 Rose St, Lexington, KY 40536-0293 — (859) 323-5956
  • 2410 Susannah St, Johnson City, TN 37601-1748 — (423) 282-9011

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 35.154451 (OH)
Anesthesiology Physician Taxonomy 207L00000X · Licence 71867 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Anesthesiology Physician Taxonomy 207L00000X · Licence 58148 (KY)

Record details

NPI number1144789918
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address1320 W Main St, Newark, OH 43055-1822

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolUNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Licking Memorial Professional Corporation — 235 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Newark