Individual
DR. KELLEY DALE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
(309) 862-3444
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
036079835
IL
207RC0000X
Cardiovascular Disease Physician
30011
MN
207RC0000X
Cardiovascular Disease Physician
Primary
48363
AZ
Other
Enumeration date
08/07/2006
Last updated
01/19/2023
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