Kennedy, Raymond James

Kennedy, Raymond James is an individual health care provider with primary practice located at 2040 Woodwinds Dr , Woodbury MN 55125-2522. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kennedy, Raymond James can be contacted via phone (651) 259-9750.

Contact Information

Primary practice address
2040 Woodwinds Dr Woodbury MN 55125-2522
Phone: (651) 259-9750
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 39653 Minnesota

Profile Details

NPI number 1871576223
LBN Legal business name Kennedy, Raymond James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Jan 9th, 2024 - about 2 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 1871576223 NPPES
Minnesota MEDICAID 038460700
Minnesota Other 1501790
Minnesota Other 991N7KE

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