Individual
JAMES A KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2802 ROSS CLARK CIRCLE, DOTHAN, AL 36301
(334) 793-5105
Mailing address
1118 ROSS CLARK CIRCLE, STE 700, DOTHAN, AL 36301
(334) 793-5105
(334) 671-5073
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1024643
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000055576
—
AL
05
—
00868293A
—
GA
01
—
51055576
BCBS
AL
Enumeration date
01/11/2006
Last updated
10/19/2011
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