Active NPIIndividual providerSole proprietor

William H Kennedy

Community Health Worker in Brockton, Massachusetts

NPI Number1699255729
Practice location
103 Commercial St, Brockton, MA 02302-3101
Fax
—
Last updated
September 17, 2020

William H Kennedy is a Community Health Worker based in Brockton, MA. William H Kennedy practices in Brockton, MA. The NPI Number for William H Kennedy is 1699255729 and holds a License No. 414089 (MA). The current practice location address for William H Kennedy is 103 Commercial St, Brockton, MA 02302-3101 and can be reached out via phone at 508-580-4691.

Provider Profile Details

NPI Number
1699255729
Provider Name
William H Kennedy
Provider Entity Type
Individual
Gender
Male
Address
103 Commercial St, Brockton, MA 02302-3101
Phone Number
508-580-4691
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 17, 2018
Last Update Date
September 17, 2020
Certification Date
September 17, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Commercial St
Brockton, MA 02302-3101
Zip
02302-3101
Phone Number
508-580-4691
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
69 Dover RD
Millis, MA 02054-1338
City
Millis
State
MA
Zip
02054-1338
Phone Number
508-801-0920

License Information

License Number (1)
414089
License State (1)
MA
Taxonomy (1)
Social Worker · 104100000X
Taxonomy (2)
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of William H Kennedy?

The NPI number of William H Kennedy is 1699255729. It was assigned on August 17, 2018 and is currently active in the NPPES registry.

What is the specialty of William H Kennedy?

William H Kennedy is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in MA under license number 414089.

Where does William H Kennedy practice?

The practice location is 103 Commercial St, Brockton, MA 02302-3101. The office can be reached at 508-580-4691 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699255729 directly on the NPPES registry website.

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