Individual
DANIEL KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, DEPT OF RADIOLOGY, JACKSON, MS 39216-4500
(601) 815-2005
(601) 984-4986
Mailing address
504 CLINTON CENTER DRIVE, CBO-SUITE 4300, CLINTON, MS 39056
(601) 815-2005
(601) 984-4986
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
23989
MS
Other
Enumeration date
05/14/2014
Last updated
04/01/2022
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