| Dr Todd William Kennell, MD | |
|
1105 Sixth St, Traverse City, MI 49684-2345 | |
| (231) 935-0497 | |
| Not Available |
| Full Name | Dr Todd William Kennell |
|---|---|
| Gender | Male |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 1105 Sixth St, Traverse City, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659394005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 4301078913 (Michigan) | Primary |
| Entity Name | Grand Traverse Radiologists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760404891 PECOS PAC ID: 6002866407 Enrollment ID: O20050124000780 |
| Entity Name | Novello Imaging Plc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265030068 PECOS PAC ID: 3476968686 Enrollment ID: O20210222002022 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Todd William Kennell, MD Po Box 30516, Dept. 9516, Lansing, MI 48909 Ph: (231) 935-0497 | Dr Todd William Kennell, MD 1105 Sixth St, Traverse City, MI 49684-2345 Ph: (231) 935-0497 |
Edward J Walsh, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
Dr. Jesse Clark Johnson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
Andrew Osetek, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-5000 | |
Anthony Livorine, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
Dr. Ryan Michael Holmes, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 | |
Dr. Daniel Pilade Dall'olmo, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy, Suite 60, Traverse City, MI 49684 Phone: 231-935-0497 | |
Dr. Charles Paul Williams, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1105 Sixth St, Traverse City, MI 49684 Phone: 231-935-0497 |