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Contact Information

FELICIA D KENNICOTT, PA-C
100 GOSHEN RD
RINCON, GA31326-5545
 Phone: 912-826-6000
 Fax: 912-826-6016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for FELICIA D KENNICOTT · (Female)

NPI Number 1376710541
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/15/2008
Last updated 07/21/2015 - More than a year ago
Sole proprietor 1 No
Identifiers
GA License # 5317
Hospital affiliation(s) 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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