Johnathan Kennedy

Case Manager/Care Coordinator · Brookings, OR

Individual Active NPI

NPI number 1235654872

Practice location

615 5TH St
Brookings, OR 97415-9199
Phone
(541) 813-2535

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NPI record

NPI
1235654872
Entity type
Individual (Type 1)
Enumeration date
August 4, 2017
Last updated
August 4, 2017
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — OR

Mailing address

PO Box 810
Gold Beach, OR 97444-0810

About Johnathan Kennedy

Johnathan Kennedy is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 615 5TH St, Brookings, OR 97415-9199. The NPI number 1235654872 was assigned on August 4, 2017 and the record was last updated on August 4, 2017.

Frequently asked questions

What is the NPI number of Johnathan Kennedy?

The NPI number is 1235654872.

What is the phone number of Johnathan Kennedy?

The phone number listed for the practice location is (541) 813-2535.

Where is Johnathan Kennedy located?

615 5TH St, Brookings, OR 97415-9199.

What is the taxonomy code for Johnathan Kennedy?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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