Richard D Kennedy (NPI# 1578689493, PAC ID# 9436256682) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1578689493 |
| PAC ID by PECOS | 9436256682 |
| Professional Enrollment ID | I20070522000698 |
| Full Name | Richard D Kennedy |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Address |
96 Integrity Dr Hebron OH 43025-7013 |
| Phone Number | 2205647930 |
| Gender | M |
| Credential | MD |
| Medical School | WRIGHT STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2000 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 6204740731 |
| Number of Group Practice Members | 184 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360218 | LICKING MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 96 Integrity Dr, Hebron, OH 43025-7013 | 2205647930 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 120 Mcmillen Dr, Newark, OH 43055-1809 | 2205644806 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 36 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| 88 Mcmillen Dr, Newark, OH 43055-1809 | 2205644270 | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Organization Legal Name | LICKING MEMORIAL PROFESSIONAL CORPORATION |
| Physicians | 169 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia Kearse | Obstetrics/gynecology | Licking Memorial Professional Corporation | 15 Messimer Dr, Newark, OH 43055-1841 |
| Michael Isaac Sniderman | Anesthesiology | Licking Memorial Professional Corporation | 1320 W Main St, Newark, OH 43055-1822 |
| Bradley R Lawson | Otolaryngology | Licking Memorial Professional Corporation | 36 Mcmillen Dr, Newark, OH 43055-1809 |
| Donald Fairbanks | Family Medicine | Licking Memorial Professional Corporation | 270 Goosepond Rd, Suite 102, Newark, OH 43055-3104 |
| Troy S Magaw | Physician Assistant | Licking Memorial Professional Corporation | 120 Mcmillen Dr, Newark, OH 43055-1809 |
| Michael D Barth | Family Medicine | Licking Memorial Professional Corporation | 1264 Weaver Dr, Granville, OH 43023-1257 |
| Jacob Z Slepian | Otolaryngology | Licking Memorial Professional Corporation | 88 Mcmillen Dr, Newark, OH 43055-1809 |
| Talya R Greathouse | Family Medicine | Licking Memorial Professional Corporation | 1717 W Main St, Suite 201, Newark, OH 43055-1347 |
| Stephen Pickstone | Psychiatry | Licking Memorial Professional Corporation | 200 Messimer Dr, Newark, OH 43055-3627 |
| Laura J Schaeffer | Dermatology | Licking Memorial Professional Corporation | 1 Healthy Pl, Suite 203, Pataskala, OH 43062-7067 |
| Street Address |
96 INTEGRITY DR |
| City | HEBRON |
| State | OH |
| Zip | 43025-7013 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregg A Mantonya | Chiropractic | Mantonya Chiropractic Center LLC | 149 N High St, Hebron, OH 43025-9669 |
| Erin Michelle Gallaher | Chiropractic | Mantonya Chiropractic Center LLC | 149 N High St, Hebron, OH 43025-9669 |
| John L Gallaher Iv | Chiropractic | Mantonya Chiropractic Center LLC | 149 N High St, Hebron, OH 43025-9669 |
| City | HEBRON |
| Zip Code | 43025 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | HEBRON + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard D Kennedy.
| 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.