Mr. Charles Reggie Kennedy SR., CERTIFIED ORTHOTIST - Jackson, MS

Mr. Charles Reggie Kennedy SR., CERTIFIEDORTHOTIST

Orthotist in Jackson, Mississippi

NPI 1548583172

Charles Reggie Kennedy SR. is a Orthotist based in Mize, MS. Charles Reggie Kennedy SR. practices in Jackson, MS and has the professional credentials of CERTIFIEDORTHOTIST. The NPI Number for Charles Reggie Kennedy SR. is 1548583172 and holds a License No. C0004097 (Mississippi).

The current practice location address for Charles Reggie Kennedy SR. is 777 Lakeland Dr, Jackson, MS and can be reached out via phone at 601-815-4844. You can also correspond with Charles Reggie Kennedy SR. through the mailing address at 503 CEDAR ST, MIZE, MS - 39116-5572 (mailing address contact number: 601-733-2327).

Location: 777 Lakeland Dr, Jackson, MS, 39116-5572

NPI Number

1548583172

Provider Name

Charles Reggie Kennedy SR.

Credential

CERTIFIEDORTHOTIST

Provider Entity Type

Individual

Gender

Male

Address

777 Lakeland Dr, Jackson, MS, 39116-5572

Phone Number

601-815-4844

Fax Number

Provider Enumeration Date

03/10/2010

Last Update Date

03/09/2024

Address

777 Lakeland Dr

City

Jackson

State

Mississippi

Zip

39216-4611

Phone Number

601-815-4844

Fax Number

Address

777 Lakeland Dr

City

Jackson

State

Mississippi

Zip

39216-4611

Phone Number

601-815-4844

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Orthotist

Speciality

Taxonomy

222Z00000X

License No.

C0004097 (Mississippi)

Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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