Individual
DR. VIRGIL J KENNEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
1084
SC
207L00000X
Anesthesiology Physician
DO 1523
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
79686134
UFID
FL
Enumeration date
11/02/2006
Last updated
11/09/2020
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