Kennedy, Timothy D.

Kennedy, Timothy D. is an individual health care provider with primary practice located at 4801 Main St Suite 200, Kansas City MO 64112-2929. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Kennedy, Timothy D. can be contacted via phone (816) 561-5151.

Contact Information

Primary practice address
4801 Main St Suite 200 Kansas City MO 64112-2929
Fax: (816) 841-0373
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X R6096 Missouri

Profile Details

NPI number 1407836844
LBN Legal business name Kennedy, Timothy D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 27th, 2013 - about 8 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 1407836844 NPPES
Kansas Other 3230639B RAILROAD MEDICARE- INDIV
Kansas Other CI3618 RAILROAD MEDICARE- INDIV
Kansas Other 3230639A RAILROAD MEDICARE- INDIV
Kansas Other CI2562 RAILROAD MEDICARE- INDIV

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