Dr Keiron Takahria Kennedy, MD | |
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
(210) 292-0510 | |
Not Available |
Full Name | Dr Keiron Takahria Kennedy |
---|---|
Gender | Male |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740221944 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101259197 (Virginia) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | ME136646 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
Self Regional Healthcare | Greenwood, SC | Hospital |
Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
Allen Hospital | Waterloo, IA | Hospital |
Coastal Carolina Hospital | Hardeeville, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Radiology Alliance Pc | 1850280470 | 230 |
Radiology Specialists Ltd Marasso-miller | 0143110874 | 54 |
Radiology Alliance Pc | 1850280470 | 230 |
Radiology Specialists Ltd Marasso-miller | 0143110874 | 54 |
Virtual Radiologic Professionals Of Texas I, Pa | 6204838766 | 33 |
Mori Bean And Brooks Inc | 8820077878 | 647 |
Entity Name | Ellis Bandt Birkin Kollins & Wong Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20180301000488 |
Entity Name | Radiology Alliance Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180417001440 |
Entity Name | Shelin Agrawal And Hyer Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20180621002255 |
Mailing Address | Practice Location Address |
---|---|
Dr Keiron Takahria Kennedy, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-0510 | Dr Keiron Takahria Kennedy, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-0510 |
Dr. Hannah Ghong-ju Ahn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4482 | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jennifer Berrie Henning, M.D. Radiology Medicare: Medicare Enrolled Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2931 | |
Steven Robert Hole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-539-9582 | |
Dr. Anthony Isaac Zarka, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Dr. Kara M Van De Kieft, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Christopher J Sardon, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-3859 |