| William A Kennedy, MD | |
|
11370 Anderson St, Se B-100, Loma Linda, CA 92354-3450 | |
| (909) 558-2848 | |
| Not Available |
| Full Name | William A Kennedy |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 11370 Anderson St, Loma Linda, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255354908 | NPI | - | NPPES |
| 00C502020 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | C50202 (California) | Primary |
| Entity Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981 |
| Mailing Address | Practice Location Address |
|---|---|
| William A Kennedy, MD 54701 File Number, Los Angeles, CA 90074-4701 Ph: (909) 558-3111 | William A Kennedy, MD 11370 Anderson St, Se B-100, Loma Linda, CA 92354-3450 Ph: (909) 558-2848 |
Rita Sheth, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 11175 Campus St, Loma Linda, CA 92350 Phone: 909-558-8242 Fax: 909-558-0479 | |
Rachel Elizabeth Gelfond Davidge, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Loma Linda University Health, General Pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Medha Shukla, Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd Ste 101, Loma Linda, CA 92354 Phone: 909-558-3904 | |
Dr. Adrian P Lavery, M.D, MPH Pediatrics Medicare: Medicare Enrolled Practice Location: 11175 Campus Street, Coleman Pavilion Suite 11121 Department Of Neonatology, Loma Linda, CA 92354 Phone: 909-651-5746 Fax: 909-558-0298 | |
Eugenia Zhang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda University Medical Center-pediatrics, Loma Linda, CA 92354 Phone: 909-558-4174 | |
Aliyah A Khan-serrano, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000 | |
Dr. Hee Chan Park, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 25845 Barton Rd, Loma Linda, CA 92354 Phone: 909-558-2828 |