Kennedy, Janet M
Kennedy, Janet M is an individual health care provider with primary practice located at 2215 Portland Ave , Louisville KY 40212-1033. 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 / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology is her primary health care specialty. Kennedy, Janet M can be contacted via phone (502) 774-8631.Contact Information
Primary practice address
2215 Portland Ave
Louisville KY 40212-1033
Phone: (502) 774-8631
Fax: (502) 772-8189
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 28175798A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 3009083 | Kentucky |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71002851 | Indiana |
Profile Details
NPI number | 1629052279 |
---|---|
LBN Legal business name | Kennedy, Janet M |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2005 |
Last updated | Apr 15th, 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 | 1629052279 | NPPES |
Kentucky | MEDICAID | 7100327690 | |
Kentucky | MEDICAID | 426952404 |
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