IndividualActive
Anna Kennedy, PA-C
NPI 1407649882 · Physician Assistant · Laurel, MS
Provider details
- NPI number
- 1407649882
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1203 Jefferson St
Laurel, MS 39440-4354
Phone: (601) 649-2863
Fax: (601) 518-7129
Approximate (ZIP-level) locationGet directions
Mailing address
1203 Jefferson St
Laurel, MS 39440-4354
Registry dates
- Enumerated
- 2025-05-27
- Last updated
- 2026-05-13
- Certified
- 2026-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.