MEDICARE: DR. DONALD FRANKLIN KENNEDY JR. M.D.

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	174400000X	Specialist	24278	GA
2	208600000X	Surgery Physician	024278	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710947403
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD FRANKLIN KENNEDY JR. M.D.

Provider Business Mailing Address
First Line	:	460 MALL BLVD
Second Line	:	STE B
City	:	SAVANNAH
State	:	GA
Zip	:	31406-4801
Country	:	US
Telephone Number	:	912-644-5300
Fax Number	:	912-644-5260

Provider Business Practice Location Address
First Line	:	131 MEMORIAL DRIVE
Second Line	:
City	:	REIDSVILLE
State	:	GA
Zip	:	30453
Country	:	US
Telephone Number	:	912-557-6224
Fax Number	:	912-557-3198

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	03/08/2016

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Directions to “ DR. DONALD FRANKLIN KENNEDY JR. M.D.” Practice Location

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