Individual
DR. NICHOLAS DAVID KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(808) 881-4880
Mailing address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
(808) 881-4880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
125051644
IL
2085R0202X
Diagnostic Radiology Physician
MD-22948
HI
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD-22948
HI
Other
Enumeration date
08/01/2008
Last updated
03/28/2024
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