HomeNPI Verification

NPI Verification

National Provider Identifier: 1417985631

Timothy J Kennedy, MD

Individual Provider

Credentials

Primary Specialty

Urology

Code: 208800000X

Practice Address

2845 GREENBRIER RD STE 240

GREEN BAY, WI 543116519

Phone: 920-288-8280

NPI Enumeration Date

June 28, 2006

NPI Number

1417985631

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry