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

Mason Kennedy

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720871643

Mason Kennedy is a Student in an Organized Health Care Education/Training Program in Jackson, Mississippi. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-5012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720871643
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedMay 23, 2025
Last updated in NPPESMay 23, 2025
Certification dateMay 23, 2025
Mailing address2500 N State St, Jackson, MS 39216-4500

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