Dr. Stephen Rogers Kennedy
Pediatrician
501 6th Ave S
St Petersburg
, Florida 33701-4634
Dr. Stephen Rogers Kennedy
Pediatrician
501 6th Ave S
St Petersburg
, Florida 33701-4634
(727) 767-4970
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About
Features
Specialties
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Stephen Rogers Kennedy
- 501 6th Ave S Box 6941
- St Petersburg, FL
- Zip : 33701-4634
- Fax : (727) 767-4970
- Phone : (727) 767-4429
Second Address
- Dr. Stephen Rogers Kennedy
- 501 6th Ave S
- St Petersburg, FL
- Zip : 33701-4634
- Fax : (727) 767-8612
- Phone : (727) 767-4243
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208000000X | Pediatrician | ME98966 | FL |
National Provider Identifier
| NPI | 1003010984 |
|---|---|
| Provider Name | Dr. Stephen Rogers Kennedy |
| First Address | St Petersburg, FL 33701-4634 |
| Second Address | St Petersburg, FL 33701-4634 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2007 |
| Last Update Date | 03/03/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 278329100 | (05) | FL |
| 309196 | AVMED (01) | FL |
| 512248 | STAYWELL/HEALTHEASE (01) | FL |
| 81039 | BLUE CROSS/BLUE SHIELD (01) | FL |
| 9072063 | AETNA (01) | FL |
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.