Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRE JOHNATHAN KENNEDY, PA
ActiveANDRE JOHNATHAN KENNEDY, PA is a Physician Assistant healthcare provider located in WEST COLUMBIA, South Carolina. NPI 1962900357 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WEST COLUMBIA, SC
Registration Details
- NPI Number
- 1962900357
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2018 (8.5270508941237 yrs)
- Last Updated
- May 26, 2021
- License
-
2832 (SC)
Practice Information
- Address
-
111 W HOSPITAL DRWEST COLUMBIA, SC, 291693405Browse SC providers · Browse ZIP 29169
- Phone
- 8037968515
- Fax
- 8037968515
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WEST COLUMBIA, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. JENNIFER G D'ANTONI | PA | 1730188517 |
| VICKI S ROBERTS | P.A.-C | 1952379471 |
| VICTOR ANSELMO GOMEZ | PA | 1083672737 |
| EDWARD A GAGE | — | 1770672792 |
| EILEEN MARIE ROGERS | PAC | 1679613004 |
| MICHAEL CHAD ATCHLEY SR. | P.A. | 1104092204 |
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.