Individual
DEREK KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-8120
Mailing address
5950 BOWMAN RD, EAST SYRACUSE, NY 13057-9500
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
292055
NY
207P00000X
Emergency Medicine Physician
70765
AZ
Other
Enumeration date
04/05/2013
Last updated
10/06/2023
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