ANDRE JOHNATHAN KENNEDY

WEST COLUMBIA, SC
NPI1962900357
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  2832)
Enumeration Date2018-01-31
Last Update Date2021-05-26
Business Address
ANDRE JOHNATHAN KENNEDY PA
111 W HOSPITAL DR
WEST COLUMBIA, SC 29169-3405
Phone number: 803-796-8515
Mailing Address
ANDRE JOHNATHAN KENNEDY PA
9735 KINCEY AVE STE 201
HUNTERSVILLE, NC 28078-9120
Phone number: 704-414-2870
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