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Johnathan Kennedy
NPI 1235654872 · on the registry since 2017
Practice
- Address
- 615 5th St
Brookings, OR 97415 - Phone
- (541) 813-2535
- Organisation at this address
- Adapt
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 38
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon