institution
The Kennedy Clinic Pllc
Primary Care Clinic/Center in Ooltewah, Tennessee
NPI 1508078445

The Kennedy Clinic Pllc is a Primary Care Clinic/Center based in Ooltewah, TN and is specialized in Primary Care. The Kennedy Clinic Pllc practices in Ooltewah, TN. The NPI Number for The Kennedy Clinic Pllc is 1508078445 and holds a License No. (Tennessee).

The current practice location address for The Kennedy Clinic Pllc is 4957 Swinyar Dr Ste 109, Ooltewah, TN and can be reached out via phone at 423-396-9893 and via fax at 423-396-9508.

Location: 4957 Swinyar Dr Ste 109, Ooltewah, TN, 37363
institution
Provider Profile Details
NPI Number
1508078445
Provider Name
The Kennedy Clinic Pllc
Credential
Provider Entity Type
Organization
Address
4957 Swinyar Dr Ste 109, Ooltewah, TN, 37363
Phone Number
423-396-9893
Fax Number
423-396-9508
Provider Enumeration Date
05/04/2007
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942280052 01 TN KENNEDY NPI#
413276426 01 TN KENNEDY SS#
4136940 01 TN KENNEDY BCBS
institution
Provider Business Practice Location Address Details
Address
4957 Swinyar Dr Ste 109
City
State
Zip
37363-2205
Phone Number
423-396-9893
Fax Number
423-396-9508
person
Provider Business Mailing Address Details
Address
4957 Swinyar Dr Ste 109
City
State
Zip
37363-2205
Phone Number
423-396-9893
Fax Number
423-396-9508
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
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