Individual
CHRIS L KENNEDY
Active
Individual
CHRIS L KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
20842
SC
207RI0011X
Interventional Cardiology Physician
20842
SC
207UN0902X
Nuclear Imaging & Therapy Physician
20842
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060056621
RAILROAD MEDICARE
SC
05
—
208420
—
SC
Enumeration date
05/09/2006
Last updated
04/25/2017
Update your record
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