Bonnie Sue Kennedy, MD is a
Internal Medicine based in Greenville, South Carolina. Bonnie Sue Kennedy is licensed to practice in South Carolina (license number LL92450) and her current practice location is
876 W Faris Rd, Greenville, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(864) 455-5648.
NPI number for Bonnie Sue Kennedy is 1093187734 and her current mailing address is 876 W Faris Rd, Greenville, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093187734.
Provider's Profile
Full Name | Bonnie Sue Kennedy |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 876 W Faris Rd, Greenville, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093187734
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 08/09/2024
Medical Identifiers
Medical identifiers for Bonnie Sue Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093187734 | NPI | - | NPPES |
NP3552 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 19511 (South Carolina) | Secondary |
207R00000X | Internal Medicine | LL92450 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonnie Sue Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Bonnie Sue Kennedy, MD 876 W Faris Rd, Greenville, SC 29605-4253 Ph: (864) 455-5648 | Bonnie Sue Kennedy, MD 876 W Faris Rd, Greenville, SC 29605-4253 Ph: (864) 455-5648 |
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