National Provider Identifier Database

KENNETH J EADDY, MD – NPI #1154506376
Interventional Pain Medicine

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.


Contact Information

KENNETH J EADDY, MD
3750 SAN JOSE PL STE 35
JACKSONVILLE, FL32257-8861
Phone: 904-902-4126
Fax:
Website:
Specialty Taxonomy Code
* Interventional Pain Medicine 208VP0014X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for KENNETH J EADDY

NPI Number 1154506376
Credentials MD
Entity Individual
Enumeration date 01/07/2008
Last updated 04/24/2023 - About 3 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME107723
Hospital affiliation n/a

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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