Kennedy, John L

Kennedy, John L is an individual health care provider with primary practice located at 971 Lakeland Dr Suite 202, Jackson MS 39216-4643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kennedy, John L can be contacted via phone (601) 362-1990.

Contact Information

Primary practice address
971 Lakeland Dr Suite 202 Jackson MS 39216-4643
Fax: (601) 362-1988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 11740 Mississippi

Profile Details

NPI number 1144263062
LBN Legal business name Kennedy, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1144263062 NPPES
Mississippi MEDICAID 00112364

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