Kennedy, Thomas L.

Kennedy, Thomas L. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1333. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Kennedy, Thomas L. can be contacted via phone (570) 271-6429.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1333
Phone: (570) 271-6429
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD023371E Pennsylvania

Profile Details

NPI number 1588623821
LBN Legal business name Kennedy, Thomas L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 10th, 2020 - about 4 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 1588623821 NPPES
Pennsylvania MEDICAID 000692220

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