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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

STEPHEN R KENNEDY, MD
501 6TH AVE S
SAINT PETERSBURG, FL33701-4634
 Phone: 727-767-4243
 Fax: 727-767-8612
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for STEPHEN R KENNEDY · (Male)

NPI # 1003010984
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2007
Last updated 03/03/2010 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME98966
  • FL Medicaid 278329100
  • FL Other 9072063 AETNA
  • FL Other 309196 AVMED
  • FL Other 81039 BLUE CROSS/BLUE SHIELD
  • FL Other 512248 STAYWELL/HEALTHEASE
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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