Kevin Raymond Kennedy PH.D.

NPI 1083685648 - Psychologist - 103TC0700X

NPI Details
NPI 1083685648
Gender Male
Enumeration Date 01/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
620 JOHN PAUL JONES CIR
PORTSMOUTH VA, 23708-2111, US
Phone (757) 953-6742
Fax (757) 953-6081
Business Location
1276 KASBA CT
VIRGINIA BEACH VA, 23464-8861, US
Phone (757) 953-6742
Fax (757) 953-6081
Toxanomy
Taxonomy Code 103TC0700X
License State Ohio
License Number 4857
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According to our database, Kevin Raymond Kennedy PH.D. NPI is 1083685648, taxonomy code is 103TC0700X and license number is 4857, license state is located at Ohio. Kevin Raymond Kennedy PH.D. physically located at 620 John Paul Jones Cir, Portsmouth VA, 23708-2111. NPI Number Kevin Raymond Kennedy PH.D. has the Individual type.

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1083685648 NPI number is provided on an as is basis without warranty of any kind. 1083685648 is maintained by the National Plan & Provider Enumeration System. The contents of Kevin Raymond Kennedy PH.D. are for informational purposes only.