John Henry Kennedy MD

NPI 1053300582 - Family Medicine - 207Q00000X

NPI Details
NPI 1053300582
Gender Male
Enumeration Date 10/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2051B HAMILL RD
SUITE 102
HIXSON TN, 37343-4085, US
Phone (423) 870-2331
Fax (423) 870-0832
Business Location
2051B HAMILL RD
SUITE 102
HIXSON TN, 37343-4085, US
Phone (423) 870-2331
Fax (423) 870-0832
Toxanomy
Taxonomy Code 207Q00000X
License State Tennessee
License Number 9944
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According to our database, Dr. John Henry Kennedy MD NPI is 1053300582, taxonomy code is 207Q00000X and license number is 9944, license state is located at Tennessee. John Henry Kennedy MD physically located at 2051b Hamill Rd, Hixson TN, 37343-4085. NPI Number John Henry Kennedy MD has the Individual type.

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1053300582 NPI number is provided on an as is basis without warranty of any kind. 1053300582 is maintained by the National Plan & Provider Enumeration System. The contents of John Henry Kennedy MD are for informational purposes only.