Kennedy, Ronald

Kennedy, Ronald is an individual health care provider with primary practice located at 971 Lakeland Dr Ste 657 , Jackson MS 39216-4608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Kennedy, Ronald can be contacted via phone (601) 200-2780.

Contact Information

Primary practice address
971 Lakeland Dr Ste 657 Jackson MS 39216-4608
Phone: (601) 200-2780
Fax: (601) 200-2788
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 326463 Louisiana
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 08369 Mississippi

Profile Details

NPI number 1689725202
LBN Legal business name Kennedy, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jun 3rd, 2021 - about 4 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 1689725202 NPPES
Mississippi MEDICAID 0116208

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