Individual
CHARLES C KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16044
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074825100
—
MN
01
—
080013595
RAILROAD MEDICARE
MN
05
—
35246800
—
WI
05
—
ENROLLED
—
IA
Enumeration date
12/27/2005
Last updated
11/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us