Kennedy, Jennifer Michelle

Kennedy, Jennifer Michelle is an individual health care provider with primary practice located at 1029 Medical Center Cir Ste 202 , Mayfield KY 42066-1189. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Jennifer Michelle can be contacted via phone (270) 247-7795.

Contact Information

Primary practice address
1029 Medical Center Cir Ste 202 Mayfield KY 42066-1189
Phone: (270) 247-7795
Fax: (270) 251-4551
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3015447 Kentucky

Profile Details

NPI number 1538760277
LBN Legal business name Kennedy, Jennifer Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2020
Last updated Jan 31st, 2022 - about 2 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 1538760277 NPPES
Kentucky MEDICAID 7100747480

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