Jocelyn T Kennedy

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Practice address

6964 Olive Dr
Columbia, SC 29203-5258

Phone

(803) 339-3993

NPI assigned

Aug 7, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1295565844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23034",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292243034",
            "telephone_number": "803-339-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6964 OLIVE DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292035258",
            "telephone_number": "803-339-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "JOCELYN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Thomas Kennedy
• Camille Frances Kennedy
• Carl Benjamin Kennedy, B.S.
• Delyn B Kennedy, RPH
• Faith Kennedy
• John R. Kennedy II, MSW, LISW-CP
• Langston T Kennedy, DPT, PT
• Latosha Kennedy
• Meredith Rebecca Kennedy, RN, IBCLC
• Miya Kennedy, RBT

• Prosthetic/Orthotic Supplier in Columbia, SC
• Providers in Columbia, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.