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Contact Information

CANDICE L KENNEDY, MS, DPM
8613 OLD KINGS RD S STE 301
JACKSONVILLE, FL32217
 Phone: 904-323-0954
 Fax: 904-660-2125
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CANDICE L KENNEDY · (Female)

NPI Number 1932539376
Status Active
Credentials MS, DPM
Entity Individual
Enumeration date 11/21/2013
Last updated 10/05/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PO3717
Hospital affiliation(s)
  • MEMORIAL HOSPITAL JACKSONVILLE - (Acute Care)
    3625 UNIVERSITY BLVD S
    JACKSONVILLE, FL 32216
  • ST VINCENTS MEDICAL CENTER - CLAY COUNTY INC - (Acute Care)
    1670 ST VINCENTS WAY
    MIDDLEBURG, FL 32068
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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