Charles A Kennedy MD

NPI 1033110150 - Internal Medicine - 207RI0200X

NPI Details
NPI 1033110150
Gender Male
Enumeration Date 08/10/2005
Last Updated 03/04/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1720 NICHOLASVILLE RD
SUITE 602
LEXINGTON KY, 40503-1475, US
Phone (859) 277-4005
Fax (859) 278-2507
Business Location
1720 NICHOLASVILLE RD
SUITE 602
LEXINGTON KY, 40503-1475, US
Phone (859) 277-4005
Fax (859) 278-2507
Toxanomy
Taxonomy Code 207RI0200X
License State Kentucky
License Number 29382
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According to our database, Charles A Kennedy MD NPI is 1033110150, taxonomy code is 207RI0200X and license number is 29382, license state is located at Kentucky. Charles A Kennedy MD physically located at 1720 Nicholasville Rd, Lexington KY, 40503-1475. NPI Number Charles A Kennedy MD has the Individual type.

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1033110150 NPI number is provided on an as is basis without warranty of any kind. 1033110150 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A Kennedy MD are for informational purposes only.