Kennedy, Stacy D.

Kennedy, Stacy D. is an individual health care provider with primary practice located at 611 Mocksville Ave. , Salisbury NC 28144-2705. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Kennedy, Stacy D. can be contacted via phone (704) 633-7220.

Contact Information

Primary practice address
611 Mocksville Ave. Salisbury NC 28144-2705
Phone: (704) 633-7220
Fax: (704) 647-0515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2009-00173 North Carolina
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 2009-00173 North Carolina

Profile Details

NPI number 1063556496
LBN Legal business name Kennedy, Stacy D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Mar 18th, 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 1063556496 NPPES
North Carolina MEDICAID 5912324

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