Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. CHARLES REGGIE KENNEDY SR., CERTIFIED ORTHOTIST
Active Sole ProprietorMR. CHARLES REGGIE KENNEDY SR., CERTIFIED ORTHOTIST is a Orthotist healthcare provider located in JACKSON, Mississippi. NPI 1548583172 is currently active in the NPPES registry. Verify at CMS.
Orthotist · JACKSON, MS
Registration Details
- NPI Number
- 1548583172
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 10, 2010 (16.398635049667 yrs)
- Last Updated
- Mar 10, 2010
- License
-
C0004097 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
777 LAKELAND DRJACKSON, MS, 392164611Browse MS providers · Browse ZIP 39216
- Phone
- 6018154844
- Primary Specialty
-
Orthotist
222Z00000X
Other Orthotist Providers in JACKSON, MS
| Name | Credential | NPI |
|---|---|---|
| MR. RICK A PSONAK | CPO | 1538258736 |
| MR. KEVIN SCRIBNER | CO | 1952586786 |
| ZACHARY DOUGLAS MYRICK | — | 1679916183 |
| AMY R ADCOX | CPO | 1417362849 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.