Kennedy, Kevin Raymond

Kennedy, Kevin Raymond is an individual health care provider with primary practice located at 620 John Paul Jones Cir , Portsmouth VA 23708-2111. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kennedy, Kevin Raymond can be contacted via phone (757) 953-6742.

Contact Information

Primary practice address
620 John Paul Jones Cir Portsmouth VA 23708-2111
Phone: (757) 953-6742
Fax: (757) 953-6081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4857 Ohio

Profile Details

NPI number 1083685648
LBN Legal business name Kennedy, Kevin Raymond
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 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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