| The Kennedy Group | |
|
112 Kings Way Suite C Hampton VA 23669-3500 | |
| (757) 722-1800 | |
| (757) 722-1900 |
| Full Name | The Kennedy Group |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 112 Kings Way, Hampton, Virginia |
| Authorized Official Name and Position | Beonko Alejandro Sampson (CEO) |
| Authorized Official Contact | 7577221800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Kennedy Group 112 Kings Way Suite C Hampton VA 23669-3500 Ph: (757) 722-1800 | The Kennedy Group 112 Kings Way Suite C Hampton VA 23669-3500 Ph: (757) 722-1800 |
| NPI Number | 1306224407 |
|---|---|
| Provider Enumeration Date | 05/11/2015 |
| Last Update Date | 05/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306224407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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