Provider Demographics
NPI:1881734655
Name:KENNEDY, WILLIAM ANTHONY II (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:ANTHONY
Last Name:KENNEDY
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:300 PASTEUR DR
Mailing Address - Street 2:DEPT OF UROLOGY RM S-287
Mailing Address - City:STANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:94305-2200
Mailing Address - Country:US
Mailing Address - Phone:650-723-9779
Mailing Address - Fax:650-723-4055
Practice Address - Street 1:730 WELCH RD
Practice Address - Street 2:SURGICAL SUBSPECIALTY CLINIC
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1503
Practice Address - Country:US
Practice Address - Phone:650-723-9779
Practice Address - Fax:650-723-4055
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAG837892088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology