Howard M Kennedy Jr. (NPI# 1942280052, PAC ID# 4385682400) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1942280052 |
| PAC ID by PECOS | 4385682400 |
| Professional Enrollment ID | I20050420000181 |
| Full Name | Howard M Kennedy Jr. |
| Organization Legal Name | KENNEDY CLINIC PLLC |
| Address |
9408 Apison Pike Suite 174 Ooltewah TN 37363-5977 |
| Phone Number | 4233969893 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1992 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2769574219 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440091 | MEMORIAL HEALTHCARE SYSTEM, INC |
| Address | Phone | Organization |
|---|---|---|
| 9408 Apison Pike, Suite 174, Ooltewah, TN 37363-5977 | 4233969893 | KENNEDY CLINIC PLLC |
| Organization Legal Name | KENNEDY CLINIC PLLC |
| Physicians | 1 |
| Street Address |
9408 APISON PIKE SUITE 174 |
| City | OOLTEWAH |
| State | TN |
| Zip | 37363-5977 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Labovich | Physical Therapy | Mcm Rehabilitation LLC | 9408 Apison Pike, Suite 150, Ooltewah, TN 37363-5978 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cheryl Haag | Podiatry | 9325 Apison Pike, Suite 137, Ooltewah, TN 37363-3805 | |
| Lester T Haag | Podiatry | Haag Foot and Ankle Pllc | 9325 Apison Pike, Suite 137, Ooltewah, TN 37363-3805 |
| Brian S Cooper | Cardiovascular Disease (cardiology) | 5243 Little Debbie Pkwy, Suite 111, Ooltewah, TN 37363-4310 | |
| James E Jolley Ii | Orthopedic Surgery | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Heather Nicole Dunn | Nurse Practitioner | Galen Medical Group, PC | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Rebecca J Payne | Nurse Practitioner | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Nathan S Woody | Nurse Practitioner | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Jason C Eck | Orthopedic Surgery | Southeastern Spine Pllc | 9309 Apison Pike, Ooltewah, TN 37363-4340 |
| Amanda Joy Wood | Nurse Practitioner | Medvest Urgent Care LLC | 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357 |
| Yasmine M Swistek | Nurse Practitioner | Medvest Urgent Care LLC | 5545 Little Debbie Pkwy, Ooltewah, TN 37363-4357 |
| Find all physicians in zip 37363 | |||
| City | OOLTEWAH |
| Zip Code | 37363 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | OOLTEWAH + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Howard M Kennedy Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.