Individual
ANDREW SCOTT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2410 PATTERSON ST, BASEMENT LEVEL, NASHVILLE, TN 37203-1551
(615) 342-4850
(615) 342-4901
Mailing address
PO BOX 742276, ATLANTA, GA 30374-2276
(615) 533-2441
(866) 716-8706
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
95-00117
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131HY
BLUECROSS BLUESHIELD
NC
01
—
178300
WELLPATH
NC
01
—
24-00084
UNITED HEALTHCARE
NC
01
—
92-0007149
RAILROAD MEDICARE
NC
01
—
B6753
MEDCOST
NC
Enumeration date
06/06/2006
Last updated
02/09/2022
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