Kennedy, R Scott

Kennedy, R Scott is an individual health care provider with primary practice located at 939 Caroline St , Port Angeles WA 98362-3909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kennedy, R Scott can be contacted via phone (360) 417-8670.

Contact Information

Primary practice address
939 Caroline St Port Angeles WA 98362-3909
Phone: (360) 417-8670
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD00023094 Washington

Profile Details

NPI number 1447228960
LBN Legal business name Kennedy, R Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 8th, 2007 - about 17 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 1447228960 NPPES
Other 1110KE REGENCE BLUE SHIELD RIDER
MEDICAID 1073410 REGENCE BLUE SHIELD RIDER

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