Individual
DR. ROBERT KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S WICKHAM RD, WEST MELBOURNE, FL 32904-1137
(321) 400-1220
(321) 241-3000
Mailing address
2200 W EAU GALLIE BLVD, 200, MELBOURNE, FL 32935-3165
(321) 253-2900
(321) 435-0100
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME81880
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273810400
—
FL
Enumeration date
06/07/2006
Last updated
11/03/2015
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