Individual
DR. STEPHEN ROGERS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME98966
FL
208M00000X
Hospitalist Physician
ME98966
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278329100
—
FL
01
—
309196
AVMED
FL
01
—
512248
STAYWELL/HEALTHEASE
FL
01
—
81039
BLUE CROSS/BLUE SHIELD
FL
01
—
9072063
AETNA
FL
Enumeration date
06/13/2007
Last updated
03/03/2010
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