Organization
KENNEDY ORTHOPEDIC SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN DAVID KENNEDY (PRESIDENT)
(602) 320-0335
Entity
Organization
Contact information
Practice address
1819 E YALE DR, TEMPE, AZ 85283-2249
(602) 320-0335
(480) 248-8993
Mailing address
1819 E YALE DR, TEMPE, AZ 85283-2249
(602) 320-0335
(480) 248-8993
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
2765
AZ
Other
Enumeration date
01/23/2012
Last updated
06/28/2012
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