Kennedy, Robert G

Kennedy, Robert G is an individual health care provider with primary practice located at 724 S Mason St Msc 7901 , Harrisonburg VA 22807-5705. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Kennedy, Robert G can be contacted via phone (540) 568-5728.

Contact Information

Primary practice address
724 S Mason St Msc 7901 Harrisonburg VA 22807-5705
Phone: (540) 568-5728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C161212 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101238231 Virginia
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 0101238231 Virginia

Profile Details

NPI number 1295707784
LBN Legal business name Kennedy, Robert G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Jul 9th, 2023 - about last year

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 1295707784 NPPES
Virginia Other VVE6439975 MEDICARE PTAN-AHWI
Virginia Other 179367 MEDICARE PTAN-AHWI
Virginia Other 5630042 MEDICARE PTAN-AHWI
Virginia Other 010160367 MEDICARE PTAN-AHWI
Virginia MEDICAID 010160367 MEDICARE PTAN-AHWI
Virginia Other 97250 MEDICARE PTAN-AHWI
Virginia Other 315335 MEDICARE PTAN-AHWI

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