Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STEPHEN WILLIAM KENNEDY, MD
ActiveDR. STEPHEN WILLIAM KENNEDY, MD is a 2471B0102X healthcare provider located in ELK GROVE, California. NPI 1689668279 is currently active in the NPPES registry. Verify at CMS.
2471B0102X · ELK GROVE, CA
Registration Details
- NPI Number
- 1689668279
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2005 (20.949840911728 yrs)
- Last Updated
- Nov 9, 2009
- License
-
A86061 (CA)
Practice Information
- Address
-
9300 W STOCKTON BLVDSTE 104ELK GROVE, CA, 957588070Browse CA providers · Browse ZIP 95758
- Phone
- 9166912069
- Fax
- 9166912065
- Primary Specialty
-
2471B0102X
2471B0102X
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.