Kennedy, Patrick Randall

Kennedy, Patrick Randall is an individual health care provider with primary practice located at 9200 W Wisconsin Ave , Milwaukee WI 53226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Kennedy, Patrick Randall can be contacted via phone (414) 805-6444.

Contact Information

Primary practice address
9200 W Wisconsin Ave Milwaukee WI 53226
Phone: (414) 805-6444
Fax: (414) 805-6702
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 66571 Wisconsin
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 66571 Wisconsin

Profile Details

NPI number 1598150344
LBN Legal business name Kennedy, Patrick Randall
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2015
Last updated Mar 10th, 2022 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598150344 NPPES
Wisconsin MEDICAID 1598150344

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