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Individual

WILLIAM E. KENNEDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
115 WEST MAIN ST., JONESBOROUGH, TN 37659-1227
(423) 753-3161
(723) 753-0193
Mailing address
115 WEST MAIN ST., JONESBOROUGH, TN 37659-1227
(423) 753-3161
(723) 753-0193

Taxonomy

Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
05-01630
TN
207X00000X
Orthopaedic Surgery Physician
Primary
MD0000007613
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MIR#50058
TN DEPT. OF LABOR
TN
Enumeration date
08/10/2011
Last updated
08/10/2011
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