Individual
MATTHEW KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9321 W THOMAS RD STE 205, PHOENIX, AZ 85037-3392
(866) 974-2673
Mailing address
18444 N 25TH AVE STE 310, PHOENIX, AZ 85023-1266
(623) 474-3431
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD-001139
AZ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/25/2021
Last updated
07/11/2025
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