Individual
SHEILA KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1430 FIVE FORKS TRICKUM RD ST 220, LAWRENCEVILLE, GA 30044-8182
(678) 578-4983
(678) 578-4988
Mailing address
2491 PANOLA RD, LITHONIA, GA 30058-4831
(678) 205-4999
(678) 205-4969
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68227
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003140093A
—
GA
05
—
003140093B
—
GA
Enumeration date
07/30/2009
Last updated
04/09/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us