Stephen D Kennedy in South Bend - Family Medicine
Stephen D Kennedy - NPI 1700885498
Stephen D Kennedy is a Family Medicine in South Bend, Indiana. Stephen D Kennedy practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Stephen D Kennedy is 1700885498. The last update date is 2019-02-22.
Stephen D Kennedy's current location address is 5838 W Brick Rd Ste 106, South Bend, Indiana. You can contact this provider via phone number 5742471911 and fax number 5742471912. The mailing address for Stephen D Kennedy is 5838 W Brick Rd Ste 106, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen D Kennedy |
|---|---|
| Address | 5838 W Brick Rd Ste 106, South Bend, Indiana |
| Phone Number | 5742471911 |
| Fax Number | 5742471912 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1700885498 |
|---|---|
| Provider Enumeration Date | 2005-07-15 |
| Last Updated Date | 2019-02-22 |
Provider Mailing Address Detail
| Address | 5838 W Brick Rd Ste 106 |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466288420 |
| Phone Number | 5742471911 |
| Fax Number | 5742471912 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 5101013733 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200081840A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen D Kennedy by the Centers for Medicare & Medicaid Services?
The Stephen D Kennedy has been assigned the NPI (National Provider Identifier) 1700885498. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Stephen D Kennedy is geographically located?
The Stephen D Kennedy is physically situated at the following location: 5838 W Brick Rd Ste 106, South Bend, IN, 466288420.
What is Stephen D Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen D Kennedy's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
On what date was the 1700885498 assigned to Stephen D Kennedy?
The Stephen D Kennedy was issued its 1700885498 on 2005-07-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Stephen D Kennedy most recently updated or refreshed?
The details pertaining to the Stephen D Kennedy, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-02-22.
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