Individual
MR. JOHN P KENNEDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7 VANDERBILT PARK DR, ASHEVILLE, NC 28803-1700
(828) 255-7776
(828) 274-7855
Mailing address
PO BOX 654481, DALLAS, TX 75265-4481
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
100905
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71411
BCBS
NC
05
—
8971411
—
NC
Enumeration date
06/09/2005
Last updated
04/13/2026
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