Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TODD EDWARD KENNEDY, PA-C
ActiveMR. TODD EDWARD KENNEDY, PA-C is a Physician Assistant healthcare provider located in STATESVILLE, North Carolina. NPI 1720080393 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · STATESVILLE, NC
Registration Details
- NPI Number
- 1720080393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 12, 2005 (20.967018618449 yrs)
- Last Updated
- Jul 17, 2018
- License
-
103906 (NC)
Practice Information
- Address
-
142 SHERLOCK DRSTATESVILLE, NC, 286251953Browse NC providers · Browse ZIP 28625
- Phone
- 7048388256
- Fax
- 7048388251
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in STATESVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MR. BURGO DOYLE GILL III | PA | 1881661205 |
| STEPHANIE LEE TAYLOR | PA | 1770549891 |
| MR. SHAWN M O'KEEFE | PA-C | 1063469864 |
| JONATHAN DOUGLAS GARRETT | PA-C | 1992745400 |
| JILL SUZANNE CALHOUN | PA-C | 1053348607 |
| KELLY A BENNETT | PA | 1982634762 |
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.