Kennedy, Charles Reggie

Kennedy, Charles Reggie is an sole proprietor health care provider with primary practice located at 777 Lakeland Dr , Jackson MS 39216-4611. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, which is considered as his primary health care specialty. Kennedy, Charles Reggie can be contacted via phone (601) 815-4844.

Contact Information

Primary practice address
777 Lakeland Dr Jackson MS 39216-4611
Phone: (601) 815-4844
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X C0004097 Mississippi

Profile Details

NPI number 1548583172
LBN Legal business name Kennedy, Charles Reggie
Credentials CERTIFIED ORTHOTIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2010
Last updated Mar 10th, 2010 - about 15 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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