Kennedy Clinic Pllc in Ooltewah - Urgent Care

Kennedy Clinic Pllc - NPI 1508078445

Kennedy Clinic Pllc is a Urgent Care in Ooltewah, Tennessee. Kennedy Clinic Pllc practices all healthcare services and medical treatments related to Urgent Care. The NPI Number for Kennedy Clinic Pllc is 1508078445. The last update date is 2023-12-08.

Kennedy Clinic Pllc's current location address is 4957 Swinyar Dr, Ooltewah, Tennessee. You can contact this provider via phone number 4234323130 and fax number 4233969508. The mailing address for Kennedy Clinic Pllc is 4957 Swinyar Dr, Ooltewah, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kennedy Clinic Pllc
Address 4957 Swinyar Dr, Ooltewah, Tennessee
Phone Number 4234323130
Fax Number 4233969508
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Kennedy M Howard
Credentials PA-C
Telephone Number 4234323130

NPI Number Detail

NPI Number 1508078445
Provider Enumeration Date 2007-05-04
Last Updated Date 2023-12-08

Provider Mailing Address Detail

Address 4957 Swinyar Dr
City Ooltewah
State Tennessee (TN)
Post Code 37363
Phone Number 4234323130
Fax Number 4233969508

Provider's Primary Taxonomy Detail

Speciality Urgent Care
Taxonomy 261Qu0200X
Definition:
Treats injuries, sudden illnesses, and other urgent health conditions without an appointment, often with extended hours.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1942280052 TN KENNEDY NPI#
4136940 TN KENNEDY BCBS
413276426 TN KENNEDY SS#

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FAQs about Kennedy Clinic Pllc

What is the unique 10-digit identifier code assigned to Kennedy Clinic Pllc by the Centers for Medicare & Medicaid Services?

The Kennedy Clinic Pllc has been issued the NPI (National Provider Identifier) 1508078445 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kennedy Clinic Pllc is geographically located?

The Kennedy Clinic Pllc is physically situated at the following location: 4957 Swinyar Dr, Ooltewah, TN, 37363.

What is the Kennedy Clinic Pllc's specialty and taxonomy code?

The Kennedy Clinic Pllc's specialty is Urgent Care, and the corresponding taxonomy code is 261Qu0200X.

On what date did Kennedy Clinic Pllc receive its 1508078445 assignment from the Centers for Medicare & Medicaid Services?

The Kennedy Clinic Pllc was assigned its 1508078445 on 2007-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Kennedy Clinic Pllc's details last updated?

The information pertaining to the Kennedy Clinic Pllc, including its address, specialty, and other details, was most recently updated on 2023-12-08.

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