Individual
DR. SCOTT RICHARD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 667-3056
(360) 666-0466
Mailing address
PO BOX 5157, VANCOUVER, WA 98668-5157
(360) 667-3056
(360) 666-0466
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60134869
WA
390200000X
Student in an Organized Health Care Education/Training Program
LL16597
OR
Other
Enumeration date
06/04/2007
Last updated
05/19/2010
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