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Contact Information

WILLIAM H KENNEDY
103 COMMERCIAL ST
BROCKTON, MA02302-3101
 Phone: 508-580-4691
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for WILLIAM H KENNEDY · (Male)

NPI Number 1699255729
Status Active
Credentials
Entity Individual
Enumeration date 08/17/2018
Last updated 09/17/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 414089
Hospital affiliation(s) Not Available
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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