National Provider Identifier
Derek Kennedy
Derek Kennedy is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician in Jamestown, NY and a listed phone number of (716) 664-8120.
Profile Overview
- NPI
- 1396088571
- Provider Type
- Individual
- Primary Specialty
- Emergency Medicine Physician
- Enumeration Date
- April 05, 2013
- Last Updated
- October 06, 2023
Practice Location
- 207 Foote Ave
- Jamestown, NY 14701-7077
Phone: (716) 664-8120
Mailing Address
- 5950 Bowman RD
- East Syracuse, NY 13057-9500
Specialties
- Emergency Medicine Physician (207P00000X)
- Emergency Medicine Physician (207P00000X)
Endpoints
- upmchospitals@upmcdirect.com
Direct Messaging Address | Upmc | Pittsburgh, PA 15219
Full Record
- NPI
- 1396088571
- Entity Type
- Individual
- Last Name
- Kennedy
- First Name
- Derek
- Mailing Street Address
- 5950 Bowman RD
- Mailing City
- East Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13057-9500
- Mailing Country
- US
- Practice Street Address
- 207 Foote Ave
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-7077
- Practice Country
- US
- Practice Phone
- (716) 664-8120
- Enumeration Date
- April 05, 2013
- Last Updated
- October 06, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 06, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Emergency Medicine Physician (207P00000X), Emergency Medicine Physician (207P00000X)