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Individual

DANIEL WILLIAM KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1320 W MAIN ST, NEWARK, OH 43055-1822
(740) 348-4710
(740) 348-4740
Mailing address
PO BOX 948, 2112 CHERRY VALLEY RD., NEWARK, OH 43058-0948
(740) 522-3774
(740) 522-2221

Taxonomy

Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35-090631
OH
207UN0901X
Nuclear Cardiology Physician
35-090631
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35-090631
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35-090631
OH
2085B0100X
Body Imaging Physician
35-090631
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35-090631
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35-090631
OH
2085N0700X
Neuroradiology Physician
35-090631
OH
2085N0904X
Nuclear Radiology Physician
35-090631
OH
2085R0001X
Radiation Oncology Physician
35-090631
OH
2085R0202X
Diagnostic Radiology Physician
Primary
35.090631
OH
2085R0202X
Diagnostic Radiology Physician
57012390
OH
2085R0203X
Therapeutic Radiology Physician
35-090631
OH
2085R0204X
Vascular & Interventional Radiology Physician
35-090631
OH
2085U0001X
Diagnostic Ultrasound Physician
35-090631
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3039198
OH
01
P00880289
RAILROAD MEDICARE
OH
Enumeration date
05/18/2007
Last updated
11/13/2014
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