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Dr. Thomas James Kennedy III, MD
Surgery of the Hand (Plastic Surgery) Physician in Bridgeport, West Virginia
NPI 1215033402

Thomas James Kennedy III is a Surgery of the Hand (Plastic Surgery) Physician based in Bridgeport, WV and is specialized in Surgery of the Hand. Thomas James Kennedy III practices in Bridgeport, WV and has the professional credentials of MD. The NPI Number for Thomas James Kennedy III is 1215033402 and holds a License No. WV20534 (West Virginia).

The current practice location address for Thomas James Kennedy III is 527 Medical Park Dr, Bridgeport, WV and can be reached out via phone at 681-342-3190.

Location: 527 Medical Park Dr, Bridgeport, WV, 26330-9007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215033402
Provider Name
Thomas James Kennedy III
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
527 Medical Park Dr, Bridgeport, WV, 26330-9007
Phone Number
681-342-3190
Fax Number
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550781237 01 WV TAX ID
350670000 01 WV FEDWORKER'S COMPENSATION
3002519000 05 WV
WV20534 01 WV HEALTH PLAN
1056649 01 WV WORKER'S COMP BRICK ST
001722749 01 WV BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
527 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9007
Phone Number
681-342-3190
Fax Number
person
Provider Business Mailing Address Details
Address
527 Medical Park Dr
City
Bridgeport
State
West Virginia
Zip
26330-9007
Phone Number
681-342-3190
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
-
Taxonomy
208200000X
License No.
20534 (West Virginia)
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Plastic Surgery
Speciality
Surgery of the Hand
Taxonomy
2082S0105X
License No.
WV20534 (West Virginia)
Definition
A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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681-342-3190
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