Kennedy, Erin

Kennedy, Erin is an individual health care provider with primary practice located at 75 Sylvania Dr , Beavercreek OH 45440-3237. 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, Erin can be contacted via phone (937) 320-5050.

Contact Information

Primary practice address
75 Sylvania Dr Beavercreek OH 45440-3237
Phone: (937) 320-5050
Fax: (937) 320-5060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.019488 Ohio

Profile Details

NPI number 1366895781
LBN Legal business name Kennedy, Erin
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Aug 24th, 2020 - about 4 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 1366895781 NPPES
Ohio MEDICAID 0176655

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