Individual
DR. COLIN D KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-3040
Mailing address
4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191-6600
(702) 653-2273
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD60567463
WA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
MD60567463
WA
Other
Enumeration date
03/27/2013
Last updated
08/28/2023
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