Kennedy, Holly Powell

Kennedy, Holly Powell is an individual health care provider with primary practice located at 1001 Potrero Ave Rm 6D14, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Kennedy, Holly Powell can be contacted via phone (415) 206-5679.

Contact Information

Primary practice address
1001 Potrero Ave Rm 6D14 San Francisco CA 94110-3518
Phone: (415) 206-5679
Fax: (415) 206-3112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN582816 California
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW1522 California

Profile Details

NPI number 1619993714
LBN Legal business name Kennedy, Holly Powell
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 8th, 2007 - about 17 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 1619993714 NPPES
California MEDICAID NMW015220

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