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Individual

HARRY R KENNEDY

Active
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Individual

HARRY R KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19406
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000054068
ANTHEM
01
1183701
CHA
01
5125845
CCN
01
5600065
AETNA
05
64194061
KY
01
C04315
CUMBERLAND HEALTHCARE
Enumeration date
02/14/2006
Last updated
04/20/2008
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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