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James Kennedy IV
Student in an Organized Health Care Education/Training Program in Brooksville, Florida
NPI 1134869894

James Kennedy IV is a Student in an Organized Health Care Education/Training Program based in Brooksville, FL. James Kennedy IV practices in Brooksville, FL. The NPI Number for James Kennedy IV is 1134869894 and holds a License No. (Florida).

The current practice location address for James Kennedy IV is 11375 Cortez Blvd, Brooksville, FL and can be reached out via phone at 617-877-6630.

Location: 11375 Cortez Blvd, Brooksville, FL, 34613-5409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1134869894
Provider Name
James Kennedy IV
Credential
Provider Entity Type
Individual
Gender
Male
Address
11375 Cortez Blvd, Brooksville, FL, 34613-5409
Phone Number
617-877-6630
Fax Number
Provider Enumeration Date
03/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
617-877-6630
Fax Number
person
Provider Business Mailing Address Details
Address
11375 Cortez Blvd
City
Brooksville
State
Florida
Zip
34613-5409
Phone Number
617-877-6630
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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