Individual provider · NPI-1

Dr. Edwin Jeff Kennedy, M.D.

Orthopaedic Surgery · Flowood, MS

NPI number1457449589
StatusActive
Last updated in NPPESSep 8, 2019

Details

NPI
1457449589
Entity type
Individual (NPI-1)
Name
Dr. Edwin Jeff Kennedy
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 11, 2006
Last updated
Sep 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207X00000X Orthopaedic Surgery10854MSYes

Practice location

104 Burney Dr
Flowood, MS 39232-6621

Phone 601-987-8200 · Fax 607-987-8211

Mailing address

Po Box 30594
Charlotte, NC 28230-0594

Phone 601-987-8200 · Fax 607-987-8211

Other practice locations

106 Highland Way Ste 102
Madison, MS 39110-6933

Phone 601-987-8200

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