Jeremy Scott Kennedy in Peoria - Dermatology
Jeremy Scott Kennedy - NPI 1528022779
Jeremy Scott Kennedy is a Dermatology in Peoria, Arizona. Jeremy Scott Kennedy practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeremy Scott Kennedy is 1528022779. The last update date is 2016-01-26.
Jeremy Scott Kennedy's current location address is 13943 N 91 Avenue, Peoria, Arizona. You can contact this provider via phone number 6237609449 and fax number 6139749351. The mailing address for Jeremy Scott Kennedy is 13943 N 91 Avenue, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Scott Kennedy |
|---|---|
| Address | 13943 N 91 Avenue, Peoria, Arizona |
| Phone Number | 6237609449 |
| Fax Number | 6139749351 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1528022779 |
|---|---|
| Provider Enumeration Date | 2006-04-14 |
| Last Updated Date | 2016-01-26 |
Provider Mailing Address Detail
| Address | 13943 N 91 Avenue |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853813629 |
| Phone Number | 6237609449 |
| Fax Number | 6139749351 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 5839 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4Z8735 | HEALTH NET | ||
| 3437670 | AZ | UNITED HEALTHCARE | |
| 9558781 | AZ | AETNA | |
| 1528022779 | AZ | BLUE CROSS BLUE SHIELD | |
| 707257 | AZ | AHCCCS | |
| 707257 | AZ | -- | |
| P01043135 | AZ | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Jeremy Scott Kennedy's unique identification number?
The Jeremy Scott Kennedy has been assigned the NPI (National Provider Identifier) Number 1528022779 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jeremy Scott Kennedy is located?
The Jeremy Scott Kennedy is situated at the following address: 13943 N 91 Avenue, Peoria, AZ, 853813629.
What is the Jeremy Scott Kennedy's area of specialization and corresponding taxonomy classification?
The Jeremy Scott Kennedy's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1528022779 to Jeremy Scott Kennedy?
The Centers for Medicare & Medicaid Services assigned the 1528022779 to Jeremy Scott Kennedy on 2006-04-14.
When was the Jeremy Scott Kennedy's information last updated?
The Jeremy Scott Kennedy's information was last updated on 2016-01-26.