Kennedy, Edwin Jeff

Kennedy, Edwin Jeff is an individual health care provider with primary practice located at 104 Burney Dr , Flowood MS 39232-6621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kennedy, Edwin Jeff can be contacted via phone (601) 987-8200.

Contact Information

Primary practice address
104 Burney Dr Flowood MS 39232-6621
Fax: (607) 987-8211
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 10854 Mississippi

Profile Details

NPI number 1457449589
LBN Legal business name Kennedy, Edwin Jeff
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Sep 8th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457449589 NPPES
Mississippi MEDICAID 01031064

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