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Stephen Kennedy, Md, Inc.
Diagnostic Radiology Physician in Elk Grove, California
NPI 1629188941

Stephen Kennedy, Md, Inc. is a Diagnostic Radiology Physician based in Elk Grove, CA and is specialized in Diagnostic Radiology. Stephen Kennedy, Md, Inc. practices in Elk Grove, CA. The NPI Number for Stephen Kennedy, Md, Inc. is 1629188941 and holds a License No. A 86061 (California).

The current practice location address for Stephen Kennedy, Md, Inc. is 9300 W Stockton Blvd, Elk Grove, CA and can be reached out via phone at 916-691-2069 and via fax at 916-691-2065. You can also correspond with Stephen Kennedy, Md, Inc. through the mailing address at 9300 W STOCKTON BLVD, ELK GROVE, CA - 95758-8070 (mailing address contact number: 916-691-2069).

Location: 9300 W Stockton Blvd, Elk Grove, CA, 95758-8070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629188941
Provider Name
Stephen Kennedy, Md, Inc.
Credential
Provider Entity Type
Organization
Address
9300 W Stockton Blvd, Elk Grove, CA, 95758-8070
Phone Number
916-691-2069
Fax Number
916-691-2065
Provider Enumeration Date
08/30/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1689668279 01 MEDICARE NPI - INDIVIDUAL FOR DR. STEPHEN KENNEDY
institution
Provider Business Practice Location Address Details
Address
9300 W Stockton Blvd
City
Elk Grove
State
California
Zip
95758-8070
Phone Number
916-691-2069
Fax Number
916-691-2065
person
Provider Business Mailing Address Details
Address
9300 W Stockton Blvd
City
Elk Grove
State
California
Zip
95758-8070
Phone Number
916-691-2069
Fax Number
916-691-2065
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
A 86061 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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