John Sargent Kennedy in Decatur - Specialist
John Sargent Kennedy - NPI 1275526386
John Sargent Kennedy is a Specialist in Decatur, Georgia. John Sargent Kennedy practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Sargent Kennedy is 1275526386. The last update date is 2007-07-08.
John Sargent Kennedy's current location address is 2665 N Decatur Rd, Decatur, Georgia. You can contact this provider via phone number 4045084320 and fax number 4045084112. The mailing address for John Sargent Kennedy is 2665 N Decatur Rd, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Sargent Kennedy |
|---|---|
| Address | 2665 N Decatur Rd, Decatur, Georgia |
| Phone Number | 4045084320 |
| Fax Number | 4045084112 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1275526386 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2665 N Decatur Rd |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300336149 |
| Phone Number | 4045084320 |
| Fax Number | 4045084112 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 25193 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00280167C | GA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to John Sargent Kennedy?
The John Sargent Kennedy has been issued the NPI (National Provider Identifier) 1275526386 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of John Sargent Kennedy?
The John Sargent Kennedy is physically situated at 2665 N Decatur Rd, in the city of Decatur, state of GA, with the postal code 300336149.
What is John Sargent Kennedy's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for John Sargent Kennedy is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275526386 to John Sargent Kennedy?
The John Sargent Kennedy received its 1275526386 assignment from the Centers for Medicare & Medicaid Services on 2005-08-24.
When was the information pertaining to John Sargent Kennedy most recently updated or revised?
The details related to John Sargent Kennedy, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.