Dr. Robert Michael Kennedy
Neurologist
777 Hospital Way G15
Pocatello
, Idaho 83201-5175
Dr. Robert Michael Kennedy
Neurologist
777 Hospital Way G15
Pocatello
, Idaho 83201-5175
(208) 239-3759
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Robert Michael Kennedy
- 777 Hospital Way G15
- Pocatello, ID
- Zip : 83201-5175
- Fax : (208) 239-3759
- Phone : (208) 239-2722
Second Address
- Dr. Robert Michael Kennedy
- 777 Hospital Way G15
- Pocatello, ID
- Zip : 83201-5175
- Fax : (208) 239-3759
- Phone : (208) 239-2722
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | M4241 | ID |
National Provider Identifier
| NPI | 1043219694 |
|---|---|
| Provider Name | Dr. Robert Michael Kennedy |
| First Address | Pocatello, ID 83201-5175 |
| Second Address | Pocatello, ID 83201-5175 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2005 |
| Last Update Date | 31/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| C47841 | (02) |
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.