MR. Howard Michael Kennedy JR., PA-C

NPI #1942280052 in Ooltewah, Tennessee

Provider Information

NPI Number: 1942280052
Entity Type: Individual
Name: MR. Howard Michael Kennedy JR., PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jan 17, 2006
Last Updated: Jan 26, 2024

Practice Location

Address: 4957 SWINYAR DR STE 109
City: Ooltewah
State: Tennessee
ZIP Code: 37363-2205
Phone: (423) 432-3130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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