Richard L Kennedy, is a
Pain Medicine - Interventional Pain Medicine physician based in West Covina, California. Richard L Kennedy is licensed to practice in California (license number G62033) and his current practice location is 1250 S Sunset Ave # 100-b, West Covina, California. He can be reached at his office (for appointments etc.) via phone at
(626) 472-0132.
NPI number for Richard L Kennedy is 1487668513 and his current mailing address is 26816 Vista Ter, Lake Forest, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487668513.
Physician's Profile
| Full Name | Richard L Kennedy |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1250 S Sunset Ave # 100-b, West Covina, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1487668513
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Richard L Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487668513 | NPI | - | NPPES |
| 00G620330 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G62033 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard L Kennedy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard L Kennedy,
26816 Vista Ter,
Lake Forest, CA 92630-8115
Ph: () - | Richard L Kennedy,
1250 S Sunset Ave # 100-b,
West Covina, CA 91790-3961
Ph: (626) 472-0132 |
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