Stacy D. Kennedy
Internist Rheumatology
611 Mocksville Ave.
Salisbury
, North Carolina 28144-2705
Stacy D. Kennedy
Internist Rheumatology
611 Mocksville Ave.
Salisbury
, North Carolina 28144-2705
(704) 647-0515
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About
Features
Specialties
- Internist
- Rheumatology
Languages spoken
- English
Location
First Address
- Stacy D. Kennedy
- 611 Mocksville Ave
- Salisbury, NC
- Zip : 28144-2705
- Fax : (704) 647-0515
- Phone : (704) 633-7220
Second Address
- Stacy D. Kennedy
- 611 Mocksville Ave.
- Salisbury, NC
- Zip : 28144-2705
- Fax : (704) 647-0515
- Phone : (704) 633-7220
Reviews
FAQs
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What type of doctor is Stacy D. Kennedy
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Is Stacy D. Kennedy a sole practitioner?
Is Stacy D. Kennedy accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 2009-00173 | NC |
| N | 111NI0900X | Internist | 2009-00173 | NC |
| Y | 207RR0500X | Rheumatology | 2009-00173 | NC |
National Provider Identifier
| NPI | 1063556496 |
|---|---|
| Provider Name | Stacy D. Kennedy |
| First Address | Salisbury, NC 28144-2705 |
| Second Address | Salisbury, NC 28144-2705 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/02/2007 |
| Last Update Date | 18/03/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5912324 | (05) | NC |
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.