National Provider Identifier
Richard Gordon Kennedy, M.D.
Richard Gordon Kennedy, M.D. is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Penfield, NY and a listed phone number of (585) 758-0777.
Profile Overview
- NPI
- 1881659845
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 20, 2006
- Last Updated
- September 16, 2016
Practice Location
- 1835 Fairport Nine Mile Point RD
- Ste 100
- Penfield, NY 14526-1903
Phone: (585) 758-0777
Specialties
- Family Medicine Physician (207Q00000X)
Full Record
- NPI
- 1881659845
- Entity Type
- Individual
- Last Name
- Kennedy
- First Name
- Richard
- Middle Name
- Gordon
- Credential
- M.D.
- Mailing Street Address
- 1835 Fairport Nine Mile Point RD
- Mailing Address Line 2
- Ste 100
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1903
- Mailing Country
- US
- Mailing Phone
- (585) 758-0777
- Mailing Fax
- (585) 388-9079
- Practice Street Address
- 1835 Fairport Nine Mile Point RD
- Practice Address Line 2
- Ste 100
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1903
- Practice Country
- US
- Practice Phone
- (585) 758-0777
- Practice Fax
- (585) 388-9079
- Enumeration Date
- April 20, 2006
- Last Updated
- September 16, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X)
- Other Identifiers
- 01159993 (NY)