Kennedy, Diane Elizabeth

Kennedy, Diane Elizabeth is an individual health care provider with primary practice located at 11180 Warner Ave Suite 455, Fountain Valley CA 92708. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kennedy, Diane Elizabeth can be contacted via phone (714) 556-0536.

Contact Information

Primary practice address
11180 Warner Ave Suite 455 Fountain Valley CA 92708
Phone: (714) 556-0536
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X NP7672 California

Profile Details

NPI number 1467655092
LBN Legal business name Kennedy, Diane Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2007
Last updated Aug 11th, 2011 - about 14 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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