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Contact Information

PATRICIA R KENNEDY, MD
6 MEDICAL DRIVE
SUITE 202
MALTA, NY12020
 Phone: 518-580-2170
 Fax: 518-580-2171
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for PATRICIA R KENNEDY · (Female)

NPI # 1861450439
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2006
Last updated 03/01/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 176536
  • IN Medicaid 200800120
  • NY Medicaid 02623274
  • IN Other 000000386171 ANTHEM PIN
Hospital affiliation(s)
  • ALBANY MEDICAL CENTER HOSPITAL - (Acute Care)
    43 NEW SCOTLAND AVENUE
    ALBANY, NY 12208
  • SARATOGA HOSPITAL - (Acute Care)
    211 CHURCH STREET
    SARATOGA SPRINGS, NY 12866
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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