Sean Michael Kennedy
Otolaryngology/Facial Plastic Surgery
2 Broad Street Plz Adirondack Ent
Glens Falls
, New York 12801-4363
Sean Michael Kennedy
Otolaryngology/Facial Plastic Surgery
2 Broad Street Plz Adirondack Ent
Glens Falls
, New York 12801-4363
(518) 926-6983
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Sean Michael Kennedy
- 100 Park Street Glens Falls Hospital - Credentialing
- Glens Falls, NY
- Zip : 12801-4413
- Fax : (518) 926-6983
- Phone : (518) 926-5924
Second Address
- Sean Michael Kennedy
- 2 Broad Street Plz Adirondack Ent
- Glens Falls, NY
- Zip : 12801-4363
- Fax : (518) 926-1385
- Phone : (518) 926-1380
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 242492 | NY |
National Provider Identifier
| NPI | 1417001025 |
|---|---|
| Provider Name | Sean Michael Kennedy |
| First Address | Glens Falls, NY 12801-4413 |
| Second Address | Glens Falls, NY 12801-4363 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/01/2007 |
| Last Update Date | 02/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 02879821 | (05) | NY |
| P00471826 | RR MEDICARE (01) | NY |
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.