Individual
DR. STEPHEN ROGERS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(727) 767-4243
(727) 767-8612
Mailing address
501 6TH AVE S, BOX 6941, ST PETERSBURG, FL 33701-4634
(727) 767-4429
(727) 767-4970
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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