Patrick T Kennelly


Address: 5420 Butler Rd, Suite 102, Bethesda, MD 20816-1506

Patrick T Kennelly (NPI# 1073619532, PAC ID# 7214827419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.

Physician Overview

Nation Provider ID (NPI) 1073619532
PAC ID by PECOS 7214827419
Professional Enrollment ID I20040319000772
Full Name Patrick T Kennelly
Address 5420 Butler Rd
Suite 102
Bethesda
MD 20816-1506
Gender M
Credential PT
Medical School MARYMOUNT UNIVERSITY
Graduation Year 1999
Primary Specialty PHYSICAL THERAPY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
5420 Butler Rd, Suite 102, Bethesda, MD 20816-1506

Organization Information

Office Location

Street Address 5420 BUTLER RD
SUITE 102
City BETHESDA
State MD
Zip 20816-1506

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Competitor

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City BETHESDA
Zip Code 20816
Specialty PHYSICAL THERAPY
City + Specialty BETHESDA + PHYSICAL THERAPY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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