MEDICARE: DR. WILLIAM KLUGH KENNEDY PHARM.D, BCPP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14793	GA
2	1835N1003X	Nutrition Support Pharmacist	14793	GA
3	1835P1200X	Pharmacotherapy Pharmacist	14793	GA
4	1835P1300X	Psychiatric Pharmacist	14793	GA

General Provider Information

NPI Number	:	1316945892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM KLUGH KENNEDY PHARM.D, BCPP

Provider Business Mailing Address
First Line	:	105 LAGOON VIEW XING
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-2648
Country	:	US
Telephone Number	:	912-897-3619
Fax Number	:	912-350-5879

Provider Business Practice Location Address
First Line	:	105 LAGOON VIEW XING
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31410-2648
Country	:	US
Telephone Number	:	912-897-3619
Fax Number	:	912-350-5879

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	09/11/2025

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