DR. STEPHEN WILLIAM KENNEDY MD NPI 1689668279

NPI Information

NPI: 1689668279
Provider Name: DR. STEPHEN WILLIAM KENNEDY, MD
Classification: Radiologic Technologist - 2471B0102X
Specialization: Bone Densitometry
Entity Type: Individual
Address: 9300 W STOCKTON BLVD
STE 104
ELK GROVE, CA
ZIP 95758
Phone: (916) 691-2069

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NPI Details

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2471B0102X	Radiologic Technologist	Bone Densitometry	A86061	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier Issuer
1	I13346	MEDICARE UPIN
2	00A860610	MEDICARE ID-TYPE UNSPECIFIED
3	1629188941	OTHER	MEDICARE 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: 3/30/2025

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