Kennedy, Todd Edward
Kennedy, Todd Edward is an individual health care provider with primary practice located at 142 Sherlock Dr , Statesville NC 28625-1953. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kennedy, Todd Edward can be contacted via phone (704) 838-8256.Contact Information
Primary practice address
142 Sherlock Dr
Statesville NC 28625-1953
Phone: (704) 838-8256
Fax: (704) 838-8251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103906 | North Carolina |
Profile Details
| NPI number | 1720080393 |
|---|---|
| LBN Legal business name | Kennedy, Todd Edward |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Jul 17th, 2018 - about 8 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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