Dr Colin D Kennedy, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-3040 | |
Not Available |
Full Name | Dr Colin D Kennedy |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1447593504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207X00000X | Orthopaedic Surgery | MD60567463 (Washington) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | MD60567463 (Washington) | Primary |
Entity Name | Las Vegas Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447656988 PECOS PAC ID: 6800118522 Enrollment ID: O20141209001376 |
Mailing Address | Practice Location Address |
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Dr Colin D Kennedy, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | Dr Colin D Kennedy, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-3040 |
Jacob Riis, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Kartik Shenoy, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3040 | |
Dr. Brandon Mark Bennett, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-652-2273 | |
Andrew Haus, Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Fortune Egbulefu, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3040 | |
Mark A Erickson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3040 Fax: 702-653-2115 |