KEVIN THOMAS KENNEDY

EAST ISLIP, NY
NPI1851569081
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: NY  009670)
Enumeration Date2008-02-11
Last Update Date2008-02-11
Business Address
-- KEVIN THOMAS KENNEDY PA-C
15 ABBEY CREEK CT CARE OF USA MEDICAL SERVICES, P.C.
EAST ISLIP, NY 11730-2223
Phone number: 877-872-5788
Mailing Address
-- KEVIN THOMAS KENNEDY PA-C
PO BOX 21724 CARE OF USA MEDICAL SERVICES, P.C.
TAMPA, FL 33622-1724
Phone number: 877-872-5788