Kennedy, Robert

Kennedy, Robert is an sole proprietor health care provider with primary practice located at 313 W Valencia St , Lakeland FL 33805-3138. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional, Other Service Providers / Contractor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kennedy, Robert can be contacted via phone (863) 632-4725.

Contact Information

Primary practice address
313 W Valencia St Lakeland FL 33805-3138
Phone: (863) 632-4725
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 198 Florida
Behavioral Health & Social Service Providers / Professional 101YP2500X 5758 Florida
Other Service Providers / Contractor 171W00000X 449 Florida

Profile Details

NPI number 1588119481
LBN Legal business name Kennedy, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2016
Last updated Aug 20th, 2016 - about 10 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.

Request for update

Popular Providers