Kenneally, Maria S

Kenneally, Maria S is an individual health care provider with primary practice located at 652 E. Warner Rd. Suite 107, Gilbert AZ 85296-3073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kenneally, Maria S can be contacted via phone (608) 345-7956.

Contact Information

Primary practice address
652 E. Warner Rd. Suite 107 Gilbert AZ 85296-3073
Phone: (608) 345-7956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP8296 Arizona

Profile Details

NPI number 1205821493
LBN Legal business name Kenneally, Maria S
Credentials APNP, BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Apr 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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