| 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 | 21 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 |
| Self Regional Healthcare | Greenwood, SC | Hospital |
| Tristar Centennial Medical Center | Nashville, TN | Hospital |
| Tristar Skyline Medical Center | Nashville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Radiology Alliance Pc | 1850280470 | 406 |
| Beloit Radiology Ltd | 3274559711 | 52 |
| Atlantic Radiology Associates Llc | 5799706032 | 110 |
| Virtual Radiologic Professionals Of Texas I, Pa | 6204838766 | 37 |
| Mori Bean And Brooks Inc | 8820077878 | 959 |
| Mori Bean And Brooks Inc | 8820077878 | 959 |
| Radiology Alliance Pc | 1850280470 | 406 |
| Radiology Specialists Ltd Marasso-miller | 0143110874 | 127 |
| Entity Name | Radiology Associates Of South Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699759183 PECOS PAC ID: 5799689659 Enrollment ID: O20031121000573 |
| Entity Name | Jupiter Imaging Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932156767 PECOS PAC ID: 5294629135 Enrollment ID: O20040211000512 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Sheridan Radiology Services Of Central Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487708814 PECOS PAC ID: 4688762149 Enrollment ID: O20071116000118 |
| Entity Name | Sheridan Radiology Services Of West Florida Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235674904 PECOS PAC ID: 4082998075 Enrollment ID: O20170413000678 |
| Entity Name | Radiology Physician Solutions Of North Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447761101 PECOS PAC ID: 2466710306 Enrollment ID: O20180216001493 |
| Entity Name | Radiology Alliance Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861478489 PECOS PAC ID: 1850280470 Enrollment ID: O20180302000956 |
| Entity Name | Radiology Specialists Ltd Marasso-miller |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437196979 PECOS PAC ID: 0143110874 Enrollment ID: O20190930000705 |
| 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: May Accept Medicare Assignments Practice Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX 78236 Phone: 210-228-6921 | |
Dr. Christopher James Atkinson, M.D. Radiology Medicare: May Accept 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: May Accept Medicare Assignments 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 |