Amy Jo Kennedy, MD | |
1660 S Columbian Way, Seattle, WA 98108-1532 | |
(206) 762-1010 | |
Not Available |
Full Name | Amy Jo Kennedy |
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Gender | Female |
Speciality | Internal Medicine |
Location | 1660 S Columbian Way, Seattle, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295153328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD460142 (Pennsylvania) | Primary |
Entity Name | University Of Pittsburgh Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883 |
Mailing Address | Practice Location Address |
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Amy Jo Kennedy, MD 1660 S Columbian Way, Seattle, WA 98108-1532 Ph: (206) 762-1010 | Amy Jo Kennedy, MD 1660 S Columbian Way, Seattle, WA 98108-1532 Ph: (206) 762-1010 |
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