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Kevin Thomas Kennedy, PA-C
Surgical Physician Assistant in East Islip, New York
NPI 1851569081

Kevin Thomas Kennedy is a Surgical Physician Assistant based in Tampa, NY and is specialized in Surgical. Kevin Thomas Kennedy practices in East Islip, NY and has the professional credentials of PA-C. The NPI Number for Kevin Thomas Kennedy is 1851569081 and holds a License No. 009670 (New York).

The current practice location address for Kevin Thomas Kennedy is 15 Abbey Creek Ct, East Islip, NY and can be reached out via phone at 877-872-5788.

Location: 15 Abbey Creek Ct, East Islip, NY, 33622-1724
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851569081
Provider Name
Kevin Thomas Kennedy
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
15 Abbey Creek Ct, East Islip, NY, 33622-1724
Phone Number
877-872-5788
Fax Number
Provider Enumeration Date
02/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Abbey Creek Ct
City
East Islip
State
New York
Zip
11730-2223
Phone Number
877-872-5788
Fax Number
person
Provider Business Mailing Address Details
Address
15 Abbey Creek Ct
City
East Islip
State
New York
Zip
11730-2223
Phone Number
877-872-5788
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
009670 (New York)
Definition
Definition to come...
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