DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. THOMAS JAMES KENNEDY III, M.D.

Active Sole Proprietor

DR. THOMAS JAMES KENNEDY III, M.D. is a Plastic Surgery healthcare provider located in BRIDGEPORT, West Virginia. NPI 1215033402 is currently active in the NPPES registry. Verify at CMS.

Plastic Surgery · BRIDGEPORT, WV

Registration Details

NPI Number
1215033402
Provider Type
Individual
Gender
Male
NPI Issued
Sep 15, 2006 (19.870765452044 yrs)
Last Updated
Jun 8, 2011
Licenses
WV20534 (WV)
20534 (WV)
Sole Proprietor
Yes

Practice Information

Address
527 MEDICAL PARK DR
SUITE 203
BRIDGEPORT, WV, 263309007
Browse WV providers · Browse ZIP 26330
Phone
6813423190
Primary Specialty
Plastic Surgery
208200000X
Additional Specialty
Surgery of the Hand (Plastic)

Other Plastic Surgery Providers in BRIDGEPORT, WV

Name Credential NPI
DR. LUIS HORACIO QUIROGA MD, MPH 1013205731
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.