Individual provider · Type 1 NPI
Robert Michael Kennedy, MD
Neurology Physician · Pocatello, ID
NPI number
1043219694
Active
Practice location
777 Hospital Way, G15
Pocatello, ID 83201-5175
Fax (208) 239-3759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | M4241 (ID) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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About NPI 1043219694
Robert Michael Kennedy, MD's National Provider Identifier is 1043219694, issued on Jul 16, 2005. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Pocatello, ID. The record was last updated on Jan 31, 2013.