Organization
WILLIAM KENNEDY MAIN MD PC
Active
Organization
WILLIAM KENNEDY MAIN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KENNEDY MAIN MD (PRESIDENT)
(212) 396-3274
Entity
Organization
Contact information
Practice address
876 PARK AVENUE, NEW YORK, NY 10075
(212) 396-3274
(212) 396-3277
Mailing address
876 PARK AVENUE, NEW YORK, NY 10075
(212) 396-3274
(212) 396-3277
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
185025
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185025
LICENSE
—
Enumeration date
01/31/2008
Last updated
11/11/2008
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