Individual
NEIL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 S PARK ST, ATTN: MADISON RADIOLOGISTS, S.C., MADISON, WI 53715-1830
(608) 251-6100
(608) 826-2710
Mailing address
8200 E 34TH CIR N, STE 1404, WICHITA, KS 67226-1361
(608) 203-5201
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2003007553
MO
2085R0202X
Diagnostic Radiology Physician
Primary
51546-020
WI
2085R0202X
Diagnostic Radiology Physician
A97631
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35111800
—
WI
01
—
P00606385
RAILROAD MEDICARE
CA
Enumeration date
11/24/2006
Last updated
08/29/2019
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