person
Susan Lucille Kennedy, MD
Diagnostic Radiology Physician in Raleigh, North Carolina
NPI 1679512313

Susan Lucille Kennedy is a Diagnostic Radiology Physician based in Raleigh, NC and is specialized in Diagnostic Radiology. Susan Lucille Kennedy practices in Raleigh, NC and has the professional credentials of MD. The NPI Number for Susan Lucille Kennedy is 1679512313 and holds a License No. 96-0291 (North Carolina).

The current practice location address for Susan Lucille Kennedy is 3949 Browning Pl, Raleigh, NC and can be reached out via phone at 919-787-8221 and via fax at 919-789-4461.

Location: 3949 Browning Pl, Raleigh, NC, 27619-9368
person
Provider Profile Details
NPI Number
1679512313
Provider Name
Susan Lucille Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3949 Browning Pl, Raleigh, NC, 27619-9368
Phone Number
919-787-8221
Fax Number
919-789-4461
Provider Enumeration Date
06/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7228732 01 VA VIRGINIA MEDICAID
16-54610 01 NC UNITED HEALTHCARE
16-54611 01 NC UNITED HEALTHCARE
48598 01 NC BLUECROSS BLUESHIELD
64590 01 NC MEDCOST
8948598 05 NC
64580 01 NC MEDCOST
64587 01 NC MEDCOST
16-54612 01 NC UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
3949 Browning Pl
City
State
Zip
27609-6504
Phone Number
919-787-8221
Fax Number
919-789-4461
person
Provider Business Mailing Address Details
Address
3949 Browning Pl
City
State
Zip
27609-6504
Phone Number
919-787-8221
Fax Number
919-789-4461
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
96-0291 (North Carolina)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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