Kennedy, Irisa

Kennedy, Irisa is an individual health care provider with primary practice located at 2904 Fishtrap Loop Ne , Olympia WA 98506-9104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist, which is considered as her primary health care specialty. Kennedy, Irisa can be contacted via phone (360) 880-8179.

Contact Information

Primary practice address
2904 Fishtrap Loop Ne Olympia WA 98506-9104
Phone: (360) 880-8179
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Art Therapist 221700000X

Profile Details

NPI number 1043057029
LBN Legal business name Kennedy, Irisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2024
Last updated Jul 9th, 2024 - about 5 months 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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