Kennedy, Robert

Kennedy, Robert is an individual health care provider with primary practice located at 415 S Wickham Rd , West Melbourne FL 32904-1137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Kennedy, Robert can be contacted via phone (321) 400-1220.

Contact Information

Primary practice address
415 S Wickham Rd West Melbourne FL 32904-1137
Phone: (321) 400-1220
Fax: (321) 241-3000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME81880 Florida

Profile Details

NPI number 1740220789
LBN Legal business name Kennedy, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 3rd, 2015 - about 11 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 1740220789 NPPES
Florida MEDICAID 273810400

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