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1851569081
KEVIN THOMAS KENNEDY
EAST ISLIP, NY
NPI
1851569081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY 009670)
Enumeration Date
2008-02-11
Last Update Date
2008-02-11
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
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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
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