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Individual

TIMOTHY C KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1601 E 19TH AVE, 6250, DENVER, CO 80218-1216
(303) 863-0300
(303) 863-7014
Mailing address
1601 E 19TH AVE, 6250, DENVER, CO 80218-1216
(303) 863-0300
(303) 863-7014

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
18011
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4012134
CO
Enumeration date
05/27/2006
Last updated
06/28/2011
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