Kennedy, Ellen Adele

Kennedy, Ellen Adele is an sole proprietor health care provider with primary practice located at 400 Detroit St , Conneaut OH 44030-1422. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Ellen Adele can be contacted via phone (440) 599-1079.

Contact Information

Primary practice address
400 Detroit St Conneaut OH 44030-1422
Phone: (440) 599-1079
Fax: (413) 254-6094
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN109860-1COA Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NS05934 Ohio

Profile Details

NPI number 1740500172
LBN Legal business name Kennedy, Ellen Adele
Credentials RN,BSN,MSN,FNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2010
Last updated Jun 8th, 2010 - about 16 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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