Kennedy, Debra

Kennedy, Debra is an individual health care provider with primary practice located at 710 Center St , Columbus GA 31901-1527. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Kennedy, Debra can be contacted via phone (706) 660-6229.

Contact Information

Primary practice address
710 Center St Columbus GA 31901-1527
Phone: (706) 660-6229
Fax: (706) 660-6504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X RN175892 Georgia

Profile Details

NPI number 1518379742
LBN Legal business name Kennedy, Debra
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2014
Last updated Aug 25th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518379742 NPPES
Georgia MEDICAID 003146964B

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