ROBERT W KENNON PH.D. NPI 1700923703

NPI Information

NPI: 1700923703
Provider Name: ROBERT W KENNON, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

Address:
106 TUCKER ST
JACKSON, TN
ZIP 38301
Phone: (731) 427-1740
Get Directions

Robert W Kennon, PH.D. is a forensic psychologist in Jackson, TN. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Robert W Kennon, PH.D. NPI is 1700923703. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

106 TUCKER ST
JACKSON, TN
ZIP 38301-035
Phone: (731) 427-1740
Fax: (731) 427-1436

The enumeration date for this NPI number is 1/31/2007 and was last updated on 12/9/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC1900X	Psychologist	Counseling	P0000001493	TENNESSEE	No
2	103TF0200X	Psychologist	Forensic	P0000001493	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3683772	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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