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Contact Information

MICHAEL KENNEDY, DO
17 SOUTHDOWN RD
HUNTINGTON, NY11743-2538
 Phone: 631-923-2139
 Fax: 631-923-2140
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MICHAEL KENNEDY · (Male)

NPI # 1982778486
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/17/2006
Last updated 03/15/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A18353
  • NC License # 02524
  • NY License # 171806
  • PA License # OS-006765-E
  • SC License # 420
  • NY Medicaid 01071058
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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