Individual
KENEDY ANDON FORYOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-4263
(901) 448-1248
Mailing address
3201 JERMANTOWN RD, STE 550, FAIRFAX, VA 22030-2885
(703) 667-8600
(703) 667-8601
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
D87397
MD
2085R0202X
Diagnostic Radiology Physician
69972
TN
2085R0202X
Diagnostic Radiology Physician
Primary
D87397
MD
2085R0202X
Diagnostic Radiology Physician
U4683
TX
Other
Enumeration date
04/19/2013
Last updated
12/28/2023
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