Kennedy, Derek

Kennedy, Derek is an individual health care provider with primary practice located at 207 Foote Ave , Jamestown NY 14701-7077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kennedy, Derek can be contacted via phone (716) 664-8120.

Contact Information

Primary practice address
207 Foote Ave Jamestown NY 14701-7077
Phone: (716) 664-8120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 70765 Arizona
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 292055 New York

Profile Details

NPI number 1396088571
LBN Legal business name Kennedy, Derek
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2013
Last updated Oct 6th, 2023 - about 2 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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