Kennedy, Stephen William

Kennedy, Stephen William is an individual health care provider with primary practice located at 9300 W Stockton Blvd Ste 104, Elk Grove CA 95758-8070. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, which is considered as his primary health care specialty. Kennedy, Stephen William can be contacted via phone (916) 691-2069.

Contact Information

Primary practice address
9300 W Stockton Blvd Ste 104 Elk Grove CA 95758-8070
Phone: (916) 691-2069
Fax: (916) 691-2065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Bone Densitometry 2471B0102X A86061 California

Profile Details

NPI number 1689668279
LBN Legal business name Kennedy, Stephen William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 9th, 2009 - about 17 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 1689668279 NPPES
Other 1629188941 MEDICARE NPI - ORGANIZATION

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