Kennedy, Maxwell B

Kennedy, Maxwell B is an sole proprietor health care provider with primary practice located at 106 Oak St Ste A , Statesboro GA 30458-0988. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Kennedy, Maxwell B can be contacted via phone (912) 682-2709.

Contact Information

Primary practice address
106 Oak St Ste A Statesboro GA 30458-0988
Phone: (912) 682-2709
Fax: (912) 764-5661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFT000585 Georgia

Profile Details

NPI number 1265664403
LBN Legal business name Kennedy, Maxwell B
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 21st, 2009
Last updated Aug 21st, 2009 - about 16 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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