NPI 1043219694

Robert Michael Kennedy, MD

Practitioner Neurology Physician Pocatello, ID

Practice location

Address: 777 Hospital Way G15, Pocatello, ID 83201-5175
Phone: (208) 239-2722
Fax: (208) 239-3759

Registered specialties

Neurology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084N0400X Licence M4241 (ID)

Other Psychiatry & Neurology providers in Idaho →

Registry record

NPI: 1043219694
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Jul 2005
Record last updated: 31 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.