Stephen Kennedy, MD, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A 86061 Issued in CA

Legal business name

STEPHEN KENNEDY, MD, INC.

Doing business as

Elk Grove Bone Densitometry Center

Practice address

9300 W Stockton Blvd
Suite # 104
Elk Grove, CA 95758-8070

Phone

(916) 691-2069

Fax

(916) 691-2065

NPI assigned

Aug 30, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Stephen William Kennedy, MDNPI 1689668279

Title

Director

Phone

(916) 691-2069

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elk Grove Bone Densitometry Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen William Kennedy, MD

  • Bone Densitometry Radiologic Technologist
  • Elk Grove, CA
  • NPI 1689668279
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1629188941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD",
            "address_2": "SUITE # 104",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-691-2069",
            "fax_number": "916-691-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 W STOCKTON BLVD",
            "address_2": "SUITE # 104",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957588070",
            "telephone_number": "916-691-2069",
            "fax_number": "916-691-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN KENNEDY, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "916-691-2069",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A 86061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI - INDIVIDUAL FOR DR. STEPHEN KENNEDY",
            "identifier": "1689668279",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elk Grove Bone Densitometry Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Lee Steele
• Abby Stefanescu
• Denee Marie Steinbacher
• David Steinberg
• Lisa B Stephan, O.D.
• Kainoah Stevens
• Amber Marie Stevenson, M.D.
• Sean Daniel Stevenson, SLP
• Annabel Steward
• Anna Stewart, LMFT

• Diagnostic Radiology Physician in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.