| Dr Keiron Takahria Kennedy, MD | |
|
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 | |
| (210) 292-0510 | |
| Not Available |
| Full Name | Dr Keiron Takahria Kennedy |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740221944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0101259197 (Virginia) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | ME136646 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gulf Coast Regional Medical Center | Panama city, FL | Hospital |
| Physicians Regional Medical Center - Pine Ridge | Naples, FL | Hospital |
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Coastal Carolina Hospital | Hardeeville, SC | Hospital |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Alliance Pc | 1850280470 | 301 |
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 84 |
| Radiology Alliance Pc | 1850280470 | 301 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Jupiter Imaging Associates Inc | 5294629135 | 60 |
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 84 |
| Sheridan Radiology Services Of Central Florida Inc | 4688762149 | 113 |
| Atlantic Radiology Associates Llc | 5799706032 | 112 |
| Virtual Radiologic Professionals Of Texas I, Pa | 6204838766 | 38 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Entity Name | Ellis Bandt Birkin Kollins & Wong Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578584678 PECOS PAC ID: 4486568946 Enrollment ID: O20180301000488 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180417001440 |
| Entity Name | Shelin Agrawal And Hyer Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861783961 PECOS PAC ID: 5890955959 Enrollment ID: O20180621002255 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keiron Takahria Kennedy, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-0510 | Dr Keiron Takahria Kennedy, MD 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236-5638 Ph: (210) 292-0510 |
Dr. Hannah Ghong-ju Ahn, MD Radiology Medicare: Medicare Enrolled Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-4482 | |
Kyle James Stevens, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-228-6921 | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6225 | |
Jennifer Berrie Henning, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-292-2931 | |
Charles Nicolas Crain, Radiology Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-292-6255 | |
Steven Robert Hole, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, TX 78236 Phone: 210-539-9582 | |
Dr. Kara M Van De Kieft, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 Phone: 210-292-6225 |