Marshal Terrance Kennedy in Gresham - Podiatrist
Marshal Terrance Kennedy - NPI 1639398845
Marshal Terrance Kennedy is a Podiatrist in Gresham, Oregon. Marshal Terrance Kennedy practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Marshal Terrance Kennedy is 1639398845. The last update date is 2013-11-09.
Marshal Terrance Kennedy's current location address is 2775 Se Powell Valley Rd, Gresham, Oregon. You can contact this provider via phone number 5036677789 and fax number 5036672032. The mailing address for Marshal Terrance Kennedy is 2775 Se Powell Valley Rd, Gresham, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marshal Terrance Kennedy |
|---|---|
| Address | 2775 Se Powell Valley Rd, Gresham, Oregon |
| Phone Number | 5036677789 |
| Fax Number | 5036672032 |
| Sole Proprietor | Y |
| Credentials | DPM |
NPI Number Detail
| NPI Number | 1639398845 |
|---|---|
| Provider Enumeration Date | 2007-04-25 |
| Last Updated Date | 2013-11-09 |
Provider Mailing Address Detail
| Address | 2775 Se Powell Valley Rd |
|---|---|
| City | Gresham |
| State | Oregon (OR) |
| Post Code | 970801475 |
| Phone Number | 5036677789 |
| Fax Number | 5036672032 |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | DP00139 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 283523 | OR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Marshal Terrance Kennedy by the Centers for Medicare & Medicaid Services (CMS)?
The Marshal Terrance Kennedy has been assigned the NPI (National Provider Identifier) 1639398845. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Marshal Terrance Kennedy's physical address?
The Marshal Terrance Kennedy is physically located at 2775 Se Powell Valley Rd, in the city of Gresham, OR, with the postal code 970801475.
What is Marshal Terrance Kennedy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Marshal Terrance Kennedy's specialized field of practice is Podiatrist, and the corresponding taxonomy code that categorizes this area of specialization is 213E00000X.
When did the Marshal Terrance Kennedy receive its 1639398845?
The Marshal Terrance Kennedy was issued its 1639398845 on 2007-04-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Marshal Terrance Kennedy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Marshal Terrance Kennedy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-11-09.
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