Kennedy, Jack Timothy

Kennedy, Jack Timothy is an sole proprietor health care provider with primary practice located at 8833 Chapelsquare Ln , Cincinnati OH 45249-4705. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Kennedy, Jack Timothy can be contacted via phone (513) 774-9444.

Contact Information

Primary practice address
8833 Chapelsquare Ln Cincinnati OH 45249-4705
Phone: (513) 774-9444
Fax: (513) 774-9888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 991698 Ohio

Profile Details

NPI number 1861557829
LBN Legal business name Kennedy, Jack Timothy
Credentials M.A. LICDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 19 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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