Kennedy, Jan C

Kennedy, Jan C is an individual health care provider with primary practice located at 2701 N Decatur Rd Pathology Dept, Decatur GA 30033-5918. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Kennedy, Jan C can be contacted via phone (404) 501-1000.

Contact Information

Primary practice address
2701 N Decatur Rd Pathology Dept Decatur GA 30033-5918
Phone: (404) 501-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 031046 Georgia

Profile Details

NPI number 1548265390
LBN Legal business name Kennedy, Jan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Sep 17th, 2012 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548265390 NPPES
Georgia MEDICAID 000429118K
Georgia MEDICAID 000429118L
Georgia Other 160113
Georgia Other 567752

Popular Providers