Kennedy, Alfred Parker

Kennedy, Alfred Parker is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-2219. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Surgery, which is considered as his primary health care specialty. Kennedy, Alfred Parker can be contacted via phone (570) 214-7967.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-2219
Phone: (570) 214-7967
Fax: (570) 214-2800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD38890 Tennessee
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD048614L Pennsylvania

Profile Details

NPI number 1821076019
LBN Legal business name Kennedy, Alfred Parker
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Aug 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821076019 NPPES
Tennessee MEDICAID 5440421

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