NPI 1215033402

Thomas James Kennedy, MD

Practitioner Plastic Surgery Physician Bridgeport, WV

Practice location

Address: 527 Medical Park Dr Suite 203, Bridgeport, WV 26330-9007
Phone: (681) 342-3190

Registered specialties (2)

Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208200000X Licence WV20534 (WV)

Other Plastic Surgery providers in West Virginia →

Surgery of the Hand (Plastic Surgery) Physician

Allopathic & Osteopathic Physicians Taxonomy 2082S0105X Licence 20534 (WV)

Registry record

NPI: 1215033402
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Sep 2006
Record last updated: 8 Jun 2011

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.