Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joseph Richard Kennedy

Individual provider Physician Assistant · NPI 1790279479

Joseph Richard Kennedy is a Physician Assistant in Jacksonville, Florida. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

6650 Corporate Center Pkwy Apt 1604
Jacksonville, FL 32216-8718
Phone: (828) 337-8766
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216-8718 — (828) 337-8766

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA57329 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790279479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2018
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

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