National Provider Identifier Database

THOMAS J KENNEDY III, MD – NPI #1215033402
Plastic Surgery

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.


Contact Information

THOMAS J KENNEDY III, MD
527 MEDICAL PARK DR
SUITE 203
BRIDGEPORT, WV26330-9007
Phone: 681-342-3190
Fax:
Website:
Specialty Taxonomy Code
* Plastic Surgery 208200000X
Surgery of the Hand 2082S0105X

* Indicates primary specialty

NPI Profile & details for THOMAS J KENNEDY III

NPI Number 1215033402
Credentials MD
Entity Individual
Enumeration date 09/15/2006
Last updated 06/08/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • WV License #: 20534
  • WV License #: WV20534
  • WV Medicaid: 3002519000
  • WV Other: 001722749 BLUE CROSS/BLUE SHIELD
  • WV Other: 350670000 FEDWORKER'S COMPENSATION
  • WV Other: WV20534 HEALTH PLAN
  • WV Other: 550781237 TAX ID
  • WV Other: 1056649 WORKER'S COMP BRICK ST
Hospital affiliation n/a

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.

Reviews for THOMAS J KENNEDY III, MD

There are currently no reviews for THOMAS J KENNEDY III, MD


NPIdb - Home
v2.201