Kennedy, Willard Lee

Kennedy, Willard Lee is an individual health care provider with primary practice located at 3324 Six Forks Rd , Raleigh NC 27609-7233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kennedy, Willard Lee can be contacted via phone (919) 781-7772.

Contact Information

Primary practice address
3324 Six Forks Rd Raleigh NC 27609-7233
Phone: (919) 781-7772
Fax: (919) 787-6331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20149 North Carolina

Profile Details

NPI number 1649279696
LBN Legal business name Kennedy, Willard Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 11th, 2015 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1649279696 NPPES
North Carolina MEDICAID 8948497

Popular Providers