Kennedy Clinic Pllc

LBN: Kennedy Clinic Pllc
Kennedy Clinic Pllc is an health care organization with primary practice located at 4957 Swinyar Dr Ste 109 , Ooltewah TN 37363-2205. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Kennedy Clinic Pllc can be contacted via phone (423) 396-9893, or through Kennedy, Howard M via phone (423) 432-3130.

Contact Information

Primary practice address
4957 Swinyar Dr Ste 109 Ooltewah TN 37363-2205
Phone: (423) 396-9893
Fax: (423) 396-9508
Website:
Map and Directions
Authorized official contact:
Name: Kennedy, Howard M Physician's Assistant Certified (PA-C)
Phone: (423) 432-3130

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X Tennessee

Profile Details

NPI number 1508078445
LBN Legal business name Kennedy Clinic Pllc
DBA Doing business as
Authorized official Kennedy, Howard M Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2007
Last updated Jan 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508078445 NPPES
Tennessee Other 1942280052 KENNEDY NPI#
Tennessee Other 4136940 KENNEDY NPI#
Tennessee Other 413276426 KENNEDY NPI#

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