Individual
DR. JOHN SPENCER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6000 US-98, PENSACOLA, FL 32512-2111
(850) 505-6601
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2339
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0102207361
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/28/2021
Last updated
09/18/2024
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