Individual
DAVID B KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 514-7600
Mailing address
50 ROUTE 25A, SMITHTOWN, NY 11787-1348
(631) 514-7600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007247
NY
Other
Enumeration date
06/16/2009
Last updated
06/16/2009
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