Kennedy, Richard Gordon

Kennedy, Richard Gordon is an individual health care provider with primary practice located at 1835 Fairport Nine Mile Point Rd Ste 100, Penfield NY 14526-1903. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kennedy, Richard Gordon can be contacted via phone (585) 758-0777.

Contact Information

Primary practice address
1835 Fairport Nine Mile Point Rd Ste 100 Penfield NY 14526-1903
Phone: (585) 758-0777
Fax: (585) 388-9079
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 167256 New York

Profile Details

NPI number 1881659845
LBN Legal business name Kennedy, Richard Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 16th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1881659845 NPPES
New York MEDICAID 01159993

Popular Providers