Charles A Kennedy
Infectious Disease
1720 Nicholasville Rd Suite 602
Lexington
, Kentucky 40503-1475
Charles A Kennedy
Infectious Disease
1720 Nicholasville Rd Suite 602
Lexington
, Kentucky 40503-1475
(859) 278-2507
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About
Features
Specialties
- Infectious Disease
Languages spoken
- English
Location
First Address
- Charles A Kennedy
- 1720 Nicholasville Rd Suite 602
- Lexington, KY
- Zip : 40503-1475
- Fax : (859) 278-2507
- Phone : (859) 277-4005
Second Address
- Charles A Kennedy
- 1720 Nicholasville Rd Suite 602
- Lexington, KY
- Zip : 40503-1475
- Fax : (859) 278-2507
- Phone : (859) 277-4005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RI0200X | Infectious Disease | 29382 | KY |
National Provider Identifier
| NPI | 1033110150 |
|---|---|
| Provider Name | Charles A Kennedy |
| First Address | Lexington, KY 40503-1475 |
| Second Address | Lexington, KY 40503-1475 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/08/2005 |
| Last Update Date | 04/03/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 440001216 | RR MEDICARE (01) | KY |
| 64293822 | (05) | KY |
| E17554 | (02) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.