Kennedy, Heather C

Kennedy, Heather C is an individual health care provider with primary practice located at 7900 Nw 23Rd St Suite 1, Bethany OK 73008-4961. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kennedy, Heather C can be contacted via phone (405) 470-3232.

Contact Information

Primary practice address
7900 Nw 23Rd St Suite 1 Bethany OK 73008-4961
Phone: (405) 470-3232
Fax: (405) 470-3233
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2191 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2191 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2191 Oklahoma

Profile Details

NPI number 1447596804
LBN Legal business name Kennedy, Heather C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2012
Last updated Apr 26th, 2016 - about 9 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 1447596804 NPPES
Oklahoma MEDICAID 200506010A

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