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Robert Kennedy

NPI 1588119481 · on the registry since 2016 · sole proprietor

Practice

Address
313 W Valencia St
Lakeland, FL 33805
Phone
(863) 632-4725

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Also registered as
101YP2500X
171W00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-08-20

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 Florida