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Individual

DR. ROBERT MICHAEL KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
777 HOSPITAL WAY, G15, POCATELLO, ID 83201-5175
(208) 239-2722
(208) 239-3759
Mailing address
777 HOSPITAL WAY, G15, POCATELLO, ID 83201-5175
(208) 239-2722
(208) 239-3759

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
M4241
ID

Other

Enumeration date
07/16/2005
Last updated
01/31/2013
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