Physician Compare National (NPI:1942280052)

HEALTHCARE PROVIDER: HOWARD MICHAEL KENNEDY JR. PA-C

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1942280052
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4385682400
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050420000181
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KENNEDY
	Individual professional last name
Provider First Name	HOWARD
	Individual professional first name
Provider Middle Name	M
	Individual professional middle name
Provider Name Suffix Text	JR.
	The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	PA
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	PHYSICIAN ASSISTANT
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	9408 APISON PIKE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 174
	Group Practice or individual's line 2 address
City	OOLTEWAH
	Group Practice or individual's city
State	TN
	Group Practice or individual's state
Zip Code	373635977
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y