Individual
DR. JOSEPH MICHAEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2434
Mailing address
75 PARK STREET, ELIZABETHTOWN, NY 12932
(518) 873-6377
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036.148262
IL
207P00000X
Emergency Medicine Physician
Primary
042-0015348
VT
207P00000X
Emergency Medicine Physician
310427
NY
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036.148262
IL
Other
Enumeration date
03/25/2015
Last updated
10/09/2025
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