Most Relevant Information
Provider Data
| NPI Number: | 1003010984 |
| Provider Name: | STEPHEN ROGERS KENNEDY MD |
| Entity Type: | Individual |
| Taxonomy Code: | 208000000X |
| Specialty: | Pediatrics |
| License Number: | ME98966 |
Most Important Dates
| Enumeration Date: | 06/13/2007 |
| Last Updated: | 03/03/2010 |
Provider Practice Location
501 6TH AVE S
ST PETERSBURG
FL
337014634
Practice Location Phone/Fax
| Phone: | 7277674243 |
| Fax: | 7277678612 |
Provider Mailing Location
501 6TH AVE S
BOX 6941
ST PETERSBURG
FL
337014634
Provider Mailing Phone/Fax
| Phone: | 7277674429 |
| Fax: | 7277674970 |
Suggested EMR
Pediatrics EMR