Kennedy, Stephen Rogers

Kennedy, Stephen Rogers is an individual health care provider with primary practice located at 501 6Th Ave S , St Petersburg FL 33701-4634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Kennedy, Stephen Rogers can be contacted via phone (727) 767-4243.

Contact Information

Primary practice address
501 6Th Ave S St Petersburg FL 33701-4634
Phone: (727) 767-4243
Fax: (727) 767-8612
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME98966 Florida
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME98966 Florida

Profile Details

NPI number 1003010984
LBN Legal business name Kennedy, Stephen Rogers
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Mar 3rd, 2010 - about 14 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 1003010984 NPPES
Florida Other 9072063 AETNA
Florida Other 309196 AETNA
Florida Other 81039 AETNA
Florida Other 512248 AETNA
Florida MEDICAID 278329100 AETNA

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