Mr. Charles Reggie Kennedy Sr., CERTIFIEDORTHOTIST
Mr. Charles Reggie Kennedy Sr., CERTIFIEDORTHOTIST is an Orthotist in Jackson, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.
- Licensed in
- MS
- In the registry since
- 2010
Practice location Address checks out
777 Lakeland DrJackson, MS 39216-4611
Phone: (601) 815-4844
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Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X · Licence C0004097 (MS) |
|---|
Record details
| NPI number | 1548583172 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CERTIFIEDORTHOTIST |
| Sole proprietor | Yes |
| NPI enumerated | March 10, 2010 |
| Last updated in NPPES | March 10, 2010 |
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