Most Relevant Information
Provider Data
| NPI Number: | 1003810706 |
| Provider Name: | JOHN P KENNEDY PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 100905 |
Most Important Dates
| Enumeration Date: | 06/09/2005 |
| Last Updated: | 01/27/2022 |
Provider Practice Location
7 VANDERBILT PARK DR
ASHEVILLE
NC
288031700
Practice Location Phone/Fax
| Phone: | 8282557776 |
| Fax: | 8282747855 |
Provider Mailing Location
7 VANDERBILT PARK DR
ASHEVILLE
NC
288031700
Provider Mailing Phone/Fax
| Phone: | 8282557776 |
| Fax: | 8282747855 |