Kennedy, Geraldine

Kennedy, Geraldine is an individual health care provider with primary practice located at 271 Carew St Mercy Medical Center, Springfield MA 01104-2377. 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, Geraldine can be contacted via phone (413) 748-9063.

Contact Information

Primary practice address
271 Carew St Mercy Medical Center Springfield MA 01104-2377
Phone: (413) 748-9063
Fax: (413) 748-9049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142162 Massachusetts

Profile Details

NPI number 1851383434
LBN Legal business name Kennedy, Geraldine
Credentials MS RN FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jan 31st, 2012 - about 12 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 1851383434 NPPES
Massachusetts MEDICAID 0377091

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