Kennedy, Timothy Robert

Kennedy, Timothy Robert is an individual health care provider with primary practice located at 1780 Nw Myhre Rd Suite 2120, Silverdale WA 98383-8676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kennedy, Timothy Robert can be contacted via phone (360) 782-3102.

Contact Information

Primary practice address
1780 Nw Myhre Rd Suite 2120 Silverdale WA 98383-8676
Phone: (360) 782-3102
Fax: (360) 782-3112
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00027437 Washington

Profile Details

NPI number 1720033319
LBN Legal business name Kennedy, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1720033319 NPPES
Other 160015562 RAILROAD MEDICARE
Other 5374029 RAILROAD MEDICARE
Other 1277KE RAILROAD MEDICARE
Other 134954 RAILROAD MEDICARE
MEDICAID 8128431 RAILROAD MEDICARE

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