| Dr Robert Moffatt Kennedy Iv, MD | |
|
1601 Brenner Ave, Radiology Dept, Salisbury, NC 28144-2515 | |
| (704) 638-9000 | |
| Not Available |
| Full Name | Dr Robert Moffatt Kennedy Iv |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1601 Brenner Ave, Salisbury, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285841130 | NPI | - | NPPES |
| Entity Name | Triad Radiology Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659485001 PECOS PAC ID: 8729086194 Enrollment ID: O20061120000009 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Moffatt Kennedy Iv, MD 19745 Valiant Way, Cornelius, NC 28031-6364 Ph: (804) 221-8794 | Dr Robert Moffatt Kennedy Iv, MD 1601 Brenner Ave, Radiology Dept, Salisbury, NC 28144-2515 Ph: (704) 638-9000 |
Dr. Jeffry Marshall Neil, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1515 W Innes St, Salisbury, NC 28144 Phone: 704-633-1022 | |
Dr. Gregory C. Mitro, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 229 Mocksville Ave, Salisbury, NC 28144 Phone: 704-797-8820 Fax: 704-210-6877 | |
Deborah Maria Lucas, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Wg 'bill' Hefner Vamc, 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Xue Bai Cunningham, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Djenaba Tene Bradford-kennedy, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1601 Brenner Ave, Salisbury, NC 28144 Phone: 704-638-9000 | |
Dr. Wayne Brown Wooten, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6 Pine Tree Rd, Salisbury, NC 28144 Phone: 704-633-1528 Fax: 704-633-7097 |