Kennedy, Johnathan

Kennedy, Johnathan is an individual health care provider with primary practice located at 615 5Th St , Brookings OR 97415-9199. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Kennedy, Johnathan can be contacted via phone (541) 813-2535.

Contact Information

Primary practice address
615 5Th St Brookings OR 97415-9199
Phone: (541) 813-2535
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X Oregon

Profile Details

NPI number 1235654872
LBN Legal business name Kennedy, Johnathan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2017
Last updated Aug 4th, 2017 - about 8 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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