Individual provider · Type 1 NPI

Andre Johnathan Kennedy, PA

Physician Assistant · West Columbia, SC

NPI number 1962900357 Active

Practice location

111 W Hospital Dr
West Columbia, SC 29169-3405

Call (803) 796-8515 Map

Fax (803) 796-8515

Mailing address

9735 Kincey Ave Ste 201
Huntersville, NC 28078-9120

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X2832 (SC)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1962900357

Andre Johnathan Kennedy, PA's National Provider Identifier is 1962900357, issued on Jan 31, 2018. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in West Columbia, SC. The record was last updated on May 26, 2021.