Kennedy, Stephen Alan

Kennedy, Stephen Alan is an sole proprietor health care provider with primary practice located at 4245 Roosevelt Way Ne Box 354740, Seattle WA 98105-6008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hand Surgery, which is considered as his primary health care specialty. Kennedy, Stephen Alan can be contacted via phone (206) 598-4288.

Contact Information

Primary practice address
4245 Roosevelt Way Ne Box 354740 Seattle WA 98105-6008
Phone: (206) 598-4288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hand Surgery 207XS0106X MD60302144 Washington

Profile Details

NPI number 1487943098
LBN Legal business name Kennedy, Stephen Alan
Credentials M.D., FRCSC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2011
Last updated Mar 13th, 2013 - about 11 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 1487943098 NPPES
Washington MEDICAID 1487943098
Washington Other PENDING

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