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DR. STEPHEN WILLIAM KENNEDY MD NPI 1689668279


NPI Information

NPI: 1689668279
Provider Name: DR. STEPHEN WILLIAM KENNEDY, MD
Classification: Radiologic Technologist - 2471B0102X
Entity Type: Individual

Specialization: Bone Densitometry

Address:
9300 W STOCKTON BLVD
STE 104
ELK GROVE, CA
ZIP 95758
Phone: (916) 691-2069
Get Directions

DR. Stephen William Kennedy, MD is a bone densitometry radiologic technologist in Elk Grove, CA. The provider is a radiologic technologist who specializes in bone densitometry and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy, in performance of bone density imaging, exam techniques, equipment protocols, radiation safety, and patient care. DR. Stephen William Kennedy, MD NPI is 1689668279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9300 W STOCKTON BLVD
STE 104
ELK GROVE, CA
ZIP 95758-070
Phone: (916) 691-2069
Fax: (916) 691-2065

The enumeration date for this NPI number is 9/9/2005 and was last updated on 11/9/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12471B0102XRadiologic TechnologistBone DensitometryA86061CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1I13346MEDICARE UPIN
200A860610MEDICARE ID-TYPE UNSPECIFIED
31629188941OTHERMEDICARE NPI - ORGANIZATION

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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