Timothy J Kennedy is a Urology in Green Bay, Wisconsin. Timothy J Kennedy practices all healthcare services and medical treatments related to Urology. The NPI Number for Timothy J Kennedy is 1417985631. The last update date is 2021-06-01.
Timothy J Kennedy's current location address is 2034 Shady Ln, Green Bay, Wisconsin. You can contact this provider via phone number 9206211785. The mailing address for Timothy J Kennedy is 2034 Shady Ln, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy J Kennedy |
|---|---|
| Address | 2034 Shady Ln, Green Bay, Wisconsin |
| Phone Number | 9206211785 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1417985631 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2021-06-01 |
Provider Mailing Address Detail
| Address | 2034 Shady Ln |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543139313 |
| Phone Number | 9206211785 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 29987 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3402100592 | MI | BCBS | |
| 104386126 | MI | -- | |
| 31501900 | WI | -- | |
| 340015995 | WI | RAILROAD | |
| 104386153 | MI | -- |
Post Comment/ Review Below
What is the Timothy J Kennedy's unique identification number?
The Timothy J Kennedy has been assigned the NPI (National Provider Identifier) Number 1417985631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Timothy J Kennedy's facilities are situated?
The facilities of Timothy J Kennedy are physically located at the following address: 2034 Shady Ln, Green Bay, WI, 543139313.
What is Timothy J Kennedy's area of expertise and its corresponding taxonomy classification?
The Timothy J Kennedy's field of specialization is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1417985631 to Timothy J Kennedy?
The Timothy J Kennedy received its 1417985631 assignment from the Centers for Medicare & Medicaid Services on 2006-06-28.
When was the information regarding Timothy J Kennedy most recently updated?
The details pertaining to the Timothy J Kennedy, including its address, specialty, and other relevant information, were last refreshed on 2021-06-01.