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:
Health care specialties
| Specialty | Code | License # | 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 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487943098 | NPPES |
| Washington | MEDICAID | 1487943098 | |
| Washington | Other | PENDING |
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