Individual
DR. KYLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7494
(213) 423-6684
Mailing address
1901 1ST AVE # 2A31, NEW YORK, NY 10029-7494
(213) 423-6684
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
332314-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
02/13/2025
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