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Individual

ANNA KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 518-7129
Mailing address
1203 JEFFERSON ST, LAUREL, MS 39440-4354
(601) 649-2863
(601) 518-7129

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/27/2025
Last updated
04/21/2026
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