Provider Demographics
NPI:1811426356
Name:KENNEDY, JAMES WILLIAM JR (PT, DPT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:WILLIAM
Last Name:KENNEDY
Suffix:JR
Gender:M
Credentials:PT, DPT
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Mailing Address - Street 1:73 NEWTON RD UNIT 101
Mailing Address - Street 2:
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2440
Mailing Address - Country:US
Mailing Address - Phone:978-388-7272
Mailing Address - Fax:978-388-7373
Practice Address - Street 1:7 WORKS WAY UNIT 205
Practice Address - Street 2:
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878-1640
Practice Address - Country:US
Practice Address - Phone:603-841-5441
Practice Address - Fax:603-841-5630
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2020-08-10
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Provider Licenses
StateLicense IDTaxonomies
NH4676225100000X
CO00149122251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic