National Provider Identifier Database

MARSHAL T KENNEDY, DPM – NPI #1639398845
Podiatrist

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.


Contact Information

MARSHAL T KENNEDY, DPM
2775 SE POWELL VALLEY RD
GRESHAM, OR97080-1475
Phone: 503-667-7789
Fax: 503-667-2032
Website:
Specialty Taxonomy Code
* Podiatrist 213E00000X

* Indicates primary specialty

NPI Profile & details for MARSHAL T KENNEDY

NPI Number 1639398845
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/25/2007
Last updated 11/09/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: DP00139
  • OR Medicaid: 283523
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.

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