Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT W KENNON, PH.D.
Active Sole ProprietorROBERT W KENNON, PH.D. is a Forensic Psychologist healthcare provider located in JACKSON, Tennessee. NPI 1700923703 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · JACKSON, TN
Registration Details
- NPI Number
- 1700923703
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.548625788609 yrs)
- Last Updated
- Dec 9, 2010
- Licenses
-
P0000001493 (TN)P0000001493 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
106 TUCKER STJACKSON, TN, 383014035Browse TN providers · Browse ZIP 38301
- Phone
- 7314271740
- Fax
- 7314271436
- Primary Specialty
-
Forensic Psychologist
103TF0200X
- Additional Specialty
- Counseling Psychologist
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.