WHITNEY S KENNEDY MD PLLC


Address: 4105 Tejon St, Denver, CO 80211-1879
Phone: 3039499171

WHITNEY S KENNEDY MD PLLC (NPI# 1962684381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962684381
Entity Type Organization
Organization Name WHITNEY S KENNEDY MD PLLC
Practice Address 4105 Tejon St
Denver
CO 80211-1879
Practice Telephone 3039499171
Mailing Telephone 3039499171
Enumeration Date 2007-11-27
Last Update Date 2007-12-04
Authorized Official Name DR. WHITNEY SWANGER KENNEDY (OWNER)
Authorized Official Telephone 3039499171
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
41061 CO Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CO 79126006 05

Office Location

Street Address 4105 TEJON ST
City DENVER
State CO
Zip Code 80211-1879

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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Competitor

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City DENVER
Zip Code 80211

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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