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
Phone: (303) 338-4545
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225100381 | NPPES |
Colorado | Other | 027281 | KAISER COMMERCIAL NUMBER |
Colorado | MEDICAID | 30559715 | KAISER COMMERCIAL NUMBER |
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