Dr. Thomas Philip Kennedy, M.D.
Radiology, Diagnostic Radiology in Fargo, ND. Individual provider (NPI-1).
NPI number1881985182
StatusActive
Last updated in NPPESMay 17, 2024
Details
- NPI
- 1881985182
- Entity type
- Individual (NPI-1)
- Name
- Dr. Thomas Philip Kennedy
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2011
- Certification date
- May 17, 2024
- Last updated
- May 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 14096 | ND | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 63632 | WI |
Practice location
801 Broadway NFargo, ND 58102-3641
Phone 701-234-2000
Mailing address
Po Box 5074Sioux Falls, SD 57117-5074
Other practice locations
600 Highland Ave
Madison, WI 53792-0001
Madison, WI 53792-0001
Phone 608-263-8340 · Fax 608-263-0682
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