Individual provider · Type 1 NPI

Charles Reggie Kennedy Sr., CERTIFIED ORTHOTIST

Orthotist · Jackson, MS

NPI number 1548583172 Active

Practice location

777 Lakeland Dr
Jackson, MS 39216-4611

Mailing address

503 Cedar St
Mize, MS 39116-5572

Specialties and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000XC0004097 (MS)

Orthotist: A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement th…

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About NPI 1548583172

Charles Reggie Kennedy Sr., CERTIFIED ORTHOTIST's National Provider Identifier is 1548583172, issued on Mar 10, 2010. The primary taxonomy on file is Orthotist (222Z00000X), and the practice location is in Jackson, MS. The record was last updated on Mar 10, 2010.