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Individual
DEBBIE ANN KENNEDY V
Active
Individual
DEBBIE ANN KENNEDY V
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
176438
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00040065801
UNIVERA HEALTH CARE
NY
01
—
000406385003
BS NENY
NY
05
—
01274744
—
NY
01
—
10001038
CDPHP
NY
01
—
10045547
VERMONT MEDICAID
NY
01
—
141826445
HUMANA
NY
01
—
19201
MVP HEALTH PLAN
NY
01
—
20103980
FIDELIS CARE NEW YORK
NY
01
—
67314
GHI HMO SELECT
NY
01
—
DK04611510
EMPIRE BC/BS
NY
Enumeration date
07/07/2006
Last updated
07/08/2007
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