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Mr. John Michael Kennedy, MSPT
Specialist in Bohemia, New York
NPI 1821041260

John Michael Kennedy is a Specialist based in Bohemia, NY. John Michael Kennedy practices in Bohemia, NY and has the professional credentials of MSPT. The NPI Number for John Michael Kennedy is 1821041260 and holds a License No. 027703-1 (New York).

The current practice location address for John Michael Kennedy is 15 Sal Ct, Bohemia, NY and can be reached out via phone at 631-513-3018.

Location: 15 Sal Ct, Bohemia, NY, 11716-3982
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821041260
Provider Name
John Michael Kennedy
Credential
MSPT
Provider Entity Type
Individual
Gender
Male
Address
15 Sal Ct, Bohemia, NY, 11716-3982
Phone Number
631-513-3018
Fax Number
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
15 Sal Ct
City
Bohemia
State
New York
Zip
11716-3982
Phone Number
631-513-3018
Fax Number
person
Provider Business Mailing Address Details
Address
15 Sal Ct
City
Bohemia
State
New York
Zip
11716-3982
Phone Number
631-513-3018
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
027703-1 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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