IndividualActive
Johnathan Kennedy
NPI 1235654872 · Case Manager/Care Coordinator · Brookings, OR
Provider details
- NPI number
- 1235654872
- Entity type
- Individual
- Primary specialty
- Case Manager/Care CoordinatorOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Practice location
615 5th St
Brookings, OR 97415-9199
Phone: (541) 813-2535
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 810
Gold Beach, OR 97444-0810
Registry dates
- Enumerated
- 2017-08-04
- Last updated
- 2017-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.