NPI 1104914043 · live from the CMS NPI Registry
Joseph Emery Kennedy, MD
Radiology, Diagnostic Radiology in Boise, ID. National Provider Identifier 1104914043, active.
NPI record
| NPI | 1104914043 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 500 W Fort St, Boise, ID 83702 |
| Practice phone | 208-422-1350 |
| Mailing address | 500 W. Fort St., Attn 114, Boise, ID 83702 |
| Enumerated | October 10, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | M-6976 (ID) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.