Kennedy, Robert J

Kennedy, Robert J is an individual health care provider with primary practice located at 1675 Providence Avenue , Schenectady NY 12309. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kennedy, Robert J can be contacted via phone (518) 377-3439.

Contact Information

Primary practice address
1675 Providence Avenue Schenectady NY 12309
Phone: (518) 377-3439
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1589361 New York

Profile Details

NPI number 1801817424
LBN Legal business name Kennedy, Robert J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - about 18 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 1801817424 NPPES
Other 000405575002 BS
MEDICAID 00864755 BS
Other 10001042 BS
Other 17111 BS

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