Kennedy, Guy Michael

Kennedy, Guy Michael is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Kennedy, Guy Michael can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 207RG0100X Colorado

Profile Details

NPI number 1225100381
LBN Legal business name Kennedy, Guy Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated May 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225100381 NPPES
Colorado Other 027281 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 30559715 KAISER COMMERCIAL NUMBER

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