Organization
WHITNEY S KENNEDY MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY SWANGER KENNEDY M.D. (OWNER)
(303) 949-9171
Entity
Organization
Contact information
Practice address
4105 TEJON ST, DENVER, CO 80211-1879
(303) 949-9171
Mailing address
4105 TEJON ST, DENVER, CO 80211-1879
(303) 949-9171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
41061
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79126006
—
CO
Enumeration date
11/27/2007
Last updated
09/27/2023
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