MICHAEL S KENNEDY M.D.

Allergy and Immunology

Everett, Washington

Provider NPI: 1740224658

Provider Information:
 MICHAEL S KENNEDY M.D.


Practice Location:
3901 HOYT AVE  EVERETT, WA 98201 US
Tel: 425-339-5412  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
Y	207K00000X	Physicians Allergy & Immunology	WA	MD00014525

Other Provider Identifiers:

Issuer	Number	State	Type
REGENCE	KE7883	WA	01
	1005750	WA	05
CIGNA DMERC	120835	WA	01
RAILROAD MEDICARE	030002415	WA	01
MEDICARE	111120483	WA	01
RAILROAD MEDICARE	030004279	WA	01
MEDICARE RAILROAD	030004268	WA	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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