Individual
PATRICK RANDALL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 805-6444
(414) 805-6702
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
66571
WI
207RI0200X
Infectious Disease Physician
Primary
66571
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598150344
—
WI
Enumeration date
03/30/2015
Last updated
03/10/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us