Individual
JOSEPH RICHARD KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6650 CORPORATE CENTER PKWY APT 1604, JACKSONVILLE, FL 32216-8718
(828) 337-8766
Mailing address
3580 WEST RD, CORTLAND, NY 13045-8989
(828) 337-8766
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA57329
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2018
Last updated
11/14/2025
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