Kennedy, Denis T

Kennedy, Denis T is an individual health care provider with primary practice located at 2525 Desales Ave , Chattanooga TN 37404-1161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kennedy, Denis T can be contacted via phone (423) 495-2620.

Contact Information

Primary practice address
2525 Desales Ave Chattanooga TN 37404-1161
Phone: (423) 495-2620
Fax: (423) 495-2625
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 27169 Tennessee

Profile Details

NPI number 1093790297
LBN Legal business name Kennedy, Denis T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jun 2nd, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093790297 NPPES
Other 3087547 BLUE CROSS BLUE SHIELD
MEDICAID 3099208 BLUE CROSS BLUE SHIELD

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