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Contact Information

KEVIN P FENNELLY, MD
NIH NHLBI CARDIOVASCULAR BR
10 CENTER DRIVE, BLDG 10, ROOM 6-3152
BETHESDA, MD20892-0001
 Phone: 301-827-0511
 Fax: 301-451-7093
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Preventive Medicine/Occupational-Environmental Medicine

2083P0500X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for KEVIN P FENNELLY · (Male)

NPI # 1255352597
Status Active
Credentials MD
Entity Individual
Enumeration date 07/22/2006
Last updated 12/16/2015 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • FL License # ME106064
  • NJ License # 25MA07311800
  • FL Medicaid 001760100
  • NJ Medicaid 5650607
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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