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1720080393
TODD EDWARD KENNEDY
STATESVILLE, NC
NPI
1720080393
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103906)
Enumeration Date
2005-08-12
Last Update Date
2018-07-17
Business Address
Mr. TODD EDWARD KENNEDY PA-C
142 SHERLOCK DR
STATESVILLE, NC 28625-1953
Phone number: 704-838-8256
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Mailing Address
Mr. TODD EDWARD KENNEDY PA-C
PO BOX 1845
STATESVILLE, NC 28687-1845
Phone number: 704-873-4277
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