Individual
KEVIN THOMAS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1221 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1011
(504) 842-3970
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-3000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
344865
LA
363AS0400X
Surgical Physician Assistant
009670
NY
Other
Enumeration date
02/11/2008
Last updated
04/23/2025
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