Kennedy, Joseph

Kennedy, Joseph is an sole proprietor health care provider with primary practice located at 5045 Carpenter Creek Dr , Pensacola FL 32503-2521. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / School. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Kennedy, Joseph can be contacted via phone (850) 407-1482.

Contact Information

Primary practice address
5045 Carpenter Creek Dr Pensacola FL 32503-2521
Phone: (850) 407-1482
Fax: (888) 249-2325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1669910360
LBN Legal business name Kennedy, Joseph
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2017
Last updated Jan 25th, 2022 - about 3 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 1669910360 NPPES
Florida MEDICAID 020022200

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