Mr. Charles Reggie Kennedy Sr. is a Jackson, Mississippi based
Orthotics. Active license number of Mr. Charles Reggie Kennedy Sr. is
C0004097 for Orthotics in Mississippi. His current practice location is
777 Lakeland Dr, Jackson. Patients can reach him at
601-815-4844. Mr. Charles Reggie Kennedy Sr. is
CERTIFIED ORTHOTIST in Orthotics and his NPI number (Unique professional ID assigned by NPPES) is 1548583172.
Mr. Charles Reggie Kennedy Sr. is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
Complete Profile:
Mr. Charles Reggie Kennedy Sr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Orthotics |
| Credentials: | CERTIFIED ORTHOTIST |
| Gender: | Male |
| Practice Address: | 777 Lakeland Dr, Jackson,
Mississippi, 39216-4611 |
| Phone: | 601-815-4844 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1548583172 |
| NPI Enumeration Date: | 10 Mar, 2010 |
| NPI Last Update On: | 10 Mar, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles Reggie Kennedy Sr. are as mentioned below.
| License Number | Specialization | State | Status | |
| C0004097 | Orthotist | Mississippi | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 503 Cedar St,
Mize, Mississippi |
| Zip: | 39116-5572 |
| Phone Number: | 601-733-2327 |
| Fax Number: | -- |
Patients can reach Mr. Charles Reggie Kennedy Sr. at
777 Lakeland Dr, Jackson, Mississippi or can
call to book an appointment on 601-815-4844.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.