MEDICARE: ANDREW SCOTT KENNEDY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	95-00117	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	92-0007149	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B6753	OTHER	NC	MEDCOST
3	178300	OTHER	NC	WELLPATH
4	24-00084	OTHER	NC	UNITED HEALTHCARE
5	131HY	OTHER	NC	BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1467491019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW SCOTT KENNEDY MD

Provider Business Mailing Address
First Line	:	PO BOX 742276
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-2276
Country	:	US
Telephone Number	:	615-533-2441
Fax Number	:	866-716-8706

Provider Business Practice Location Address
First Line	:	2410 PATTERSON ST
Second Line	:	BASEMENT LEVEL
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1551
Country	:	US
Telephone Number	:	615-342-4850
Fax Number	:	615-342-4901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	02/09/2022

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Directions to “ ANDREW SCOTT KENNEDY MD” Practice Location

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