Individual
DR. RONALD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
971 LAKELAND DR STE 657, JACKSON, MS 39216-4608
(601) 200-2780
(601) 200-2788
Mailing address
PO BOX 23666, JACKSON, MS 39225-3666
(601) 200-4749
(601) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
08369
MS
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
326463
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116208
—
MS
Enumeration date
01/12/2007
Last updated
05/08/2025
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