Kennedy, John M

Kennedy, John M is an individual health care provider with primary practice located at 1990 Industrial Blvd. , Houma LA 70363-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kennedy, John M can be contacted via phone (985) 868-9300.

Contact Information

Primary practice address
1990 Industrial Blvd. Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 025329 Louisiana

Profile Details

NPI number 1912095787
LBN Legal business name Kennedy, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 11th, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912095787 NPPES
Louisiana MEDICAID 1575780

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