Kennedy, John P

Kennedy, John P is an individual health care provider with primary practice located at 7 Vanderbilt Park Dr , Asheville NC 28803-1700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kennedy, John P can be contacted via phone (828) 255-7776.

Contact Information

Primary practice address
7 Vanderbilt Park Dr Asheville NC 28803-1700
Fax: (828) 274-7855
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 100905 North Carolina

Profile Details

NPI number 1003810706
LBN Legal business name Kennedy, John P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 27th, 2022 - about 2 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 1003810706 NPPES
North Carolina Other 71411 BCBS
North Carolina MEDICAID 8971411 BCBS

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