Scott Richard Kennedy MD

NPI 1033311774 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1033311774
Gender Male
Enumeration Date 06/04/2007
Last Updated 05/19/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
VANCOUVER WA, 98664-3200, US
Phone (360) 667-3056
Fax (360) 666-0466
Business Location
PO BOX 5157
VANCOUVER WA, 98668-5157, US
Phone (360) 667-3056
Fax (360) 666-0466
Taxonomy Code 390200000X
License State Oregon
License Number LL16597
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According to our database, Dr. Scott Richard Kennedy MD NPI is 1033311774, taxonomy code is 390200000X and license number is LL16597, license state is located at Oregon. Scott Richard Kennedy MD physically located at 400 Ne Mother Joseph Pl, Vancouver WA, 98664-3200. NPI Number Scott Richard Kennedy MD has the Individual type.

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1033311774 NPI number is provided on an as is basis without warranty of any kind. 1033311774 is maintained by the National Plan & Provider Enumeration System. The contents of Scott Richard Kennedy MD are for informational purposes only.