Kennedy, Stephen J

Kennedy, Stephen J is an individual health care provider with primary practice located at 1200 7Th Ave N , St Petersburg FL 33705-1300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kennedy, Stephen J can be contacted via phone (727) 825-1100.

Contact Information

Primary practice address
1200 7Th Ave N St Petersburg FL 33705-1300
Phone: (727) 825-1100
Fax: (770) 237-4926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME61941 Florida
Other Service Providers / Specialist 174400000X ME61941 Florida

Profile Details

NPI number 1407821424
LBN Legal business name Kennedy, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Aug 3rd, 2021 - about 3 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 1407821424 NPPES
Florida Other 26874U FL MEDICARE
Florida Other 26874 FL MEDICARE
Florida Other P01478716 FL MEDICARE
Florida MEDICAID 376073100 FL MEDICARE

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