Individual provider · Type 1 NPI

Matthew John Kennedy Jr., DO

Student in an Organized Health Care Education/Training Program · Portland, ME

NPI number 1356100697 Active

Practice location

22 Bramhall St
Portland, ME 04102-3175

Call (207) 662-0111 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356100697

Matthew John Kennedy Jr., DO's National Provider Identifier is 1356100697, issued on Mar 18, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, ME. The record was last updated on Mar 18, 2024.