Robert W Kennon, PHD - Psychologist in Jackson, TN

Robert W Kennon, PHD is a Psychologist - Forensic based in Jackson, Tennessee. Robert W Kennon is licensed to practice in Tennessee (license number P0000001493) and his current practice location is 106 Tucker St, Jackson, Tennessee. He can be reached at his office (for appointments etc.) via phone at (731) 427-1740.

NPI number for Robert W Kennon is 1700923703 and his current mailing address is 106 Tucker St, Jackson, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700923703.

Contact Information

Robert W Kennon, PHD
106 Tucker St,
Jackson, TN 38301-4035
(731) 427-1740
(731) 427-1436



Healthcare Provider's Profile

Full NameRobert W Kennon
GenderMale
SpecialityPsychologist - Forensic
Location106 Tucker St, Jackson, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1700923703
  • Provider Enumeration Date: 01/31/2007
  • Last Update Date: 12/09/2010

Medical Identifiers

Medical identifiers for Robert W Kennon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700923703NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0200XPsychologist - Forensic P0000001493 (Tennessee)Primary
103TC1900XPsychologist - Counseling P0000001493 (Tennessee)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Robert W Kennon is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Robert W Kennon, PHD
106 Tucker St,
Jackson, TN 38301-4035

Ph: (731) 427-1740
Robert W Kennon, PHD
106 Tucker St,
Jackson, TN 38301-4035

Ph: (731) 427-1740

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› Verified 9 days ago


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