Individual
KEVIN RAYMOND KENNEDY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-6742
(757) 953-6081
Mailing address
1276 KASBA CT, VIRGINIA BEACH, VA 23464-8861
(757) 953-6742
(757) 953-6081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4857
OH
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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