Individual
DR. MARCUS PETER KENNEDY
Active
Individual
DR. MARCUS PETER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
E-5260
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07090022400
QUALCHOICE
AR
01
—
5N843
BCBS
AR
01
—
P00405677
RAILROAD MEDICARE
AR
Enumeration date
01/30/2007
Last updated
01/10/2008
Update your record
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