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Dr. Stephen William Kennedy, MD
Bone Densitometry Radiologic Technologist in Elk Grove, California
NPI 1689668279

Stephen William Kennedy is a Bone Densitometry Radiologic Technologist based in Elk Grove, CA and is specialized in Bone Densitometry. Stephen William Kennedy practices in Elk Grove, CA and has the professional credentials of MD. The NPI Number for Stephen William Kennedy is 1689668279 and holds a License No. A86061 (California).

The current practice location address for Stephen William Kennedy 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.

Location: 9300 W Stockton Blvd, Elk Grove, CA, 95758-8070
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689668279
Provider Name
Stephen William Kennedy
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
9300 W Stockton Blvd, Elk Grove, CA, 95758-8070
Phone Number
916-691-2069
Fax Number
916-691-2065
Provider Enumeration Date
09/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1629188941 01 MEDICARE NPI - ORGANIZATION
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
Technologists, Technicians & Other Technical Service Providers
Classification
Radiologic Technologist
Speciality
Bone Densitometry
Taxonomy
2471B0102X
License No.
A86061 (California)
Definition
Definition to come.
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