Dr Thomas James Kennedy Iii, MD | |
527 Medical Park Dr, Suite 203, Bridgeport, WV 26330-9007 | |
(681) 342-3190 | |
Not Available |
Full Name | Dr Thomas James Kennedy Iii |
---|---|
Gender | Male |
Speciality | Plastic Surgery |
Location | 527 Medical Park Dr, Bridgeport, West Virginia |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215033402 | NPI | - | NPPES |
550781237 | Other | WV | TAX ID |
350670000 | Other | WV | FEDWORKER'S COMPENSATION |
3002519000 | Medicaid | WV | |
WV20534 | Other | WV | HEALTH PLAN |
1056649 | Other | WV | WORKER'S COMP BRICK ST |
001722749 | Other | WV | BLUE CROSS/BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208200000X | Plastic Surgery | WV20534 (West Virginia) | Primary |
2082S0105X | Plastic Surgery - Surgery Of The Hand | 20534 (West Virginia) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Dr Thomas James Kennedy Iii, MD 527 Medical Park Dr, Suite 203, Bridgeport, WV 26330-9007 Ph: (681) 342-3190 | Dr Thomas James Kennedy Iii, MD 527 Medical Park Dr, Suite 203, Bridgeport, WV 26330-9007 Ph: (681) 342-3190 |
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› Verified 8 days ago
Dr. Ronald William Luethke, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 527 Medical Park Dr Ste 203, Bridgeport, WV 26330 Phone: 681-342-3190 Fax: 681-342-3195 |