Andre Johnathan Kennedy PA

  • NPI 1962900357
According to our database, the NPI number for Andre Johnathan Kennedy PA is 1962900357 and activated since 6 years ago. Andre Johnathan Kennedy PA is an individual provider who specializes in Physician Assistant, and the primary practice location is 111 W Hospital Dr, West Columbia, SC 29169. You can also contact Andre Johnathan Kennedy PA via telephone number is (803) 796-8515. Provider NPI information was last updated on 05/26/2021.

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Overview of Andre Johnathan Kennedy PA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 01/31/2018
  • Last updated: 05/26/2021

Primary Scrop of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 2832
  • License State: SC

Provider Mailing Address

  • Address: 9735 Kincey Ave Ste 201
    Huntersville, NC 28078
  • Phone: 704-414-2870
  • Fax:

Provider Practice Location

  • Address: 111 W Hospital Dr
    West Columbia, SC 29169
  • Phone: 803-796-8515
  • Fax: 803-796-8515

Scope of Practice

  • Taxonomy Code: 363A00000X
  • Specialty: Physician Assistant
  • License Number: 2832
  • License State: SC
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2832
  • Identifier Type: Other
  • Identifier State: SC
  • Issuer: SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING AND REGULATION

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Andre Johnathan Kennedy PA?
  • A: The npi number for Andre Johnathan Kennedy PA is 1962900357.
  • Q: What are Andre Johnathan Kennedy PA's specialties?
  • A: Andre Johnathan Kennedy PA's specialties are Physician Assistant and different specialities.
  • Q: What is the medical license for Andre Johnathan Kennedy PA?
  • A: The medical license number for Andre Johnathan Kennedy PA is 2832 and issued in SC in USA.
  • Q: Where is Andre Johnathan Kennedy PA practice location?
  • A: Andre Johnathan Kennedy PA is practicing at 111 W Hospital Dr, West Columbia, SC 29169.
  • Q: How to contact Andre Johnathan Kennedy PA?
  • A: You can contact Andre Johnathan Kennedy PA via 803-796-8515.
Medicare Specialty
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Addiction Medicine
Clinical Pharmacology
Family Medicine
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Ph.D. Medical Genetics
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Family Health
Nurse Massage Therapist
Sports Medicine
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Content provided by MDNPI.com mainly comes from Centers for Medicare & Medicaid Services (CMS) published data and the FOIA-disclosable NPPES health care provider data file.