Dr. Shawn Robert Kennedy
Endodontist
59 Haywood Park Dr
Clyde
, North Carolina 28721-4404
Dr. Shawn Robert Kennedy
Endodontist
59 Haywood Park Dr
Clyde
, North Carolina 28721-4404
(828) 627-1998
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Shawn Robert Kennedy
- 59 Haywood Park Dr
- Clyde, NC
- Zip : 28721-4404
- Fax : (828) 627-1998
- Phone : (828) 627-1999
Second Address
- Dr. Shawn Robert Kennedy
- 59 Haywood Park Dr
- Clyde, NC
- Zip : 28721-4404
- Fax : (828) 627-1998
- Phone : (828) 627-1999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 7621 | NC |
National Provider Identifier
| NPI | 1053534032 |
|---|---|
| Provider Name | Dr. Shawn Robert Kennedy |
| First Address | Clyde, NC 28721-4404 |
| Second Address | Clyde, NC 28721-4404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.