Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARSHAL TERRANCE KENNEDY, DPM
Active Sole ProprietorDR. MARSHAL TERRANCE KENNEDY, DPM is a Podiatrist healthcare provider located in GRESHAM, Oregon. NPI 1639398845 is currently active in the NPPES registry. Verify at CMS.
Podiatrist · GRESHAM, OR
Registration Details
- NPI Number
- 1639398845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 25, 2007 (19.275149196907 yrs)
- Last Updated
- Nov 9, 2013
- License
-
DP00139 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2775 SE POWELL VALLEY RDGRESHAM, OR, 970801475Browse OR providers · Browse ZIP 97080
- Phone
- 5036677789
- Fax
- 5036672032
- Primary Specialty
-
Podiatrist
213E00000X
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.