Doctor profile · Federal record
Dr. Timothy Kennedy, MD
Urology Physician · Green Bay, WI
- NPI 1417985631
- 20 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2845 Greenbrier RD Ste 240
Green Bay, WI 543116519
(920) 288-8280
fax (920) 288-8285 - Mailing address
-
2034 Shady Ln
Green Bay, WI 543139313
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- June 1, 2021
- Specialty taxonomy
- 208800000X — NUCC code
- State license (1)
- Wisconsin #29987
- Medicaid (3)
- MI #104386126 · WI #31501900 · MI #104386153
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417985631. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$454
Transactions
3
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Intuitive Surgical, INC. | 3 | $453.81 |
By nature of payment
Frequently asked questions
What is Dr. Timothy Kennedy's medical specialty?
Dr. Timothy Kennedy practices Urology Physician in Green Bay, WI.
Where does Dr. Timothy Kennedy practice?
Dr. Timothy Kennedy practices at 2845 Greenbrier RD Ste 240, Green Bay, WI 543116519. Office phone: 9202888280.
What is Dr. Timothy Kennedy's NPI?
Dr. Timothy Kennedy's National Provider Identifier (NPI) is 1417985631, issued by NPPES.