Individual
DR. GREGORY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204
(303) 602-2716
Mailing address
1623 SAINT PAUL ST UNIT 201, DENVER, CO 80206-1666
(314) 560-2292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0060165
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2015
Last updated
03/02/2021
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