Individual
DR. ROBERT MOFFATT KENNEDY IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1601 BRENNER AVE, RADIOLOGY DEPT, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
19745 VALIANT WAY, CORNELIUS, NC 28031-6364
(804) 221-8794
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
182390
NC
2085R0202X
Diagnostic Radiology Physician
Primary
2012-01137
NC
2085R0202X
Diagnostic Radiology Physician
ME109476
FL
390200000X
Student in an Organized Health Care Education/Training Program
0116018770
VA
Other
Enumeration date
05/17/2007
Last updated
07/03/2023
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