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NPI Code Detail

MEDICARE: KENNEDY EVANS

MEDICARE: KENNEDY EVANS
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
1104100000XSocial Worker19607LA

General Provider Information

NPI Number : 1578305538
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENNEDY EVANS
Provider Business Mailing Address
First Line : 920 N CARROLLTON AVE APT C
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-3752
Country : US
Telephone Number : 601-597-3838
Fax Number :
Provider Business Practice Location Address
First Line : 4919 CANAL ST STE 203
Second Line :
City : NEW ORLEANS
State : LA
Zip : 70119-5878
Country : US
Telephone Number : 504-483-9883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2024
Last Update Date : 01/28/2026

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Directions to “ KENNEDY EVANS ” Practice Location

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