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Contact Information

JASON D KENNEDY, MD
2525 DESALES AVE
CHATTANOOGA, TN37404-1161
 Phone: 423-495-7404
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207LC0200X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for JASON D KENNEDY · (Male)

NPI # 1447391677
Status Active
Credentials MD
Entity Individual
Enumeration date 02/09/2007
Last updated 08/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 26161
  • GA License # 61105
  • TN License # 46094
  • AL Medicaid 009942534
  • AL Medicaid 009942536
  • AL Medicaid 009942537
  • AL Medicaid 009942538
  • AL Other 051540437 BLUE CROSS
  • AL Other 051540445 BLUE CROSS
  • AL Other 051540446 BLUE CROSS
  • AL Other 051540447 BLUE CROSS
Hospital affiliation(s)
  • MEMORIAL HEALTHCARE SYSTEM INC - (Acute Care)
    2525 DESALES AVE
    CHATTANOOGA, TN 37404
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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