MR. CHARLES REGGIE KENNEDY SR. CERTIFIED ORTHOTIST
NPI 1548583172
Orthotist in Jackson, MS

Active since March 10, 2010
777 LAKELAND DR, JACKSON, MS 39216(601) 815-4844 Get Directions Write a Review

NPPES record last updated: March 10, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Charles Reggie Kennedy Sr. Certified Orthotist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES REGGIE KENNEDY SR. CERTIFIED ORTHOTIST (NPI 1548583172) is an individual orthotist provider in Jackson, Mississippi, licensed in Mississippi (C0004097) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1548583172
Entity TypeIndividualMale
Primary Taxonomy222Z00000X
Provider Legal NameMR. CHARLES REGGIE KENNEDY SR.Credential: CERTIFIED ORTHOTIST
Location Address777 LAKELAND DRJackson, MS 39216-4611
Mailing Address503 Cedar StMize, MS 39116-5572 · (601) 733-2327
Sole ProprietorYes
Enumeration DateMarch 10, 2010
NPI 1548583172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthotistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code222Z00000X
License Licensed in MS · C0004097
Definition

A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

777 LAKELAND DR, Jackson, MS 39216

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
777 LAKELAND DR
JACKSON, MS 39216
Speech-Language Pathologist
777 LAKELAND DR
JACKSON, MS 39216
Prosthetist
777 LAKELAND DR
JACKSON, MS 39216
Orthotist
777 LAKELAND DR
JACKSON, MS 39216
Speech-Language Pathologist
777 LAKELAND DR
JACKSON, MS 39216

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Kennedy's NPI number?

The NPI number for Charles Kennedy is 1548583172. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Where is Charles Kennedy located?

Charles Kennedy practices at 777 Lakeland Dr, Jackson, MS 39216. The listed phone number is (601) 815-4844.

What is Charles Kennedy's specialty?

The primary specialty registered for this NPI is Orthotist with taxonomy code 222Z00000X.

When was this NPI record last updated?

The NPPES record for Charles Kennedy was last updated on March 10, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.