CHARLES REGGIE KENNEDY

JACKSON, MS
NPI1548583172
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
(Licence: MS  C0004097)
Enumeration Date2010-03-10
Last Update Date2010-03-10
Business Address
MR. CHARLES REGGIE KENNEDY CERTIFIED ORTHOTIST
777 LAKELAND DR
JACKSON, MS 39216-4611
Phone number: 601-815-4844
Mailing Address
MR. CHARLES REGGIE KENNEDY CERTIFIED ORTHOTIST
503 CEDAR ST
MIZE, MS 39116-5572
Phone number: 601-733-2327
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