Kennedy, Emmalee N

Kennedy, Emmalee N is an individual health care provider with primary practice located at 1215 N Beaver St , Flagstaff AZ 86001-3126. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Kennedy, Emmalee N can be contacted via phone (928) 773-2200.

Contact Information

Primary practice address
1215 N Beaver St Flagstaff AZ 86001-3126
Phone: (928) 773-2200
Fax: (928) 773-2300
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33977 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 33977 Arizona
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 33977 Arizona

Profile Details

NPI number 1619940384
LBN Legal business name Kennedy, Emmalee N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2006
Last updated Apr 16th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1619940384 NPPES
Arizona MEDICAID 186958

Popular Providers