Kennedy, Zachary Lee

Kennedy, Zachary Lee is an individual health care provider with primary practice located at 7111 Southcrest Pkwy Ste 105 , Southaven MS 38671-4851. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kennedy, Zachary Lee can be contacted via phone (901) 261-2506.

Contact Information

Primary practice address
7111 Southcrest Pkwy Ste 105 Southaven MS 38671-4851
Phone: (901) 261-2506
Fax: (901) 261-2590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10012 Tennessee
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X CP058100T Mississippi

Profile Details

NPI number 1689089765
LBN Legal business name Kennedy, Zachary Lee
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 1st, 2026 - about 4 months 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 1689089765 NPPES
Mississippi Other CP058100T MS LICENSE
Mississippi Other 10012 MS LICENSE

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