Local City Search for Surgeons and Surgical Clinics DR. THOMAS JAMES KENNEDY M.D.
Surgery Yellow Pages
Bridgeport, West Virginia
Provider NPI: 1215033402
Provider Information:DR. THOMAS JAMES KENNEDY M.D.
Practice Location:
527 MEDICAL PARK DR SUITE 203 BRIDGEPORT, WV 26330 US
Tel: 681-342-3190 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2082S0105X | Physicians Plastic Surgery Surgery of the Hand | WV | 20534 |
| Y | 208200000X | Physicians Plastic Surgery | WV | WV20534 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TAX ID | 550781237 | WV | 01 |
| HEALTH PLAN | WV20534 | WV | 01 |
| WORKER'S COMP BRICK ST | 1056649 | WV | 01 |
| 3002519000 | WV | 05 | |
| FEDWORKER'S COMPENSATION | 350670000 | WV | 01 |
| BLUE CROSS/BLUE SHIELD | 001722749 | WV | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
