Kennedy, Jessica

Kennedy, Jessica is an sole proprietor health care provider with primary practice located at 506 W Graham Ave Ste 106 , Lake Elsinore CA 92530-3665. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kennedy, Jessica can be contacted via phone (951) 232-3870.

Contact Information

Primary practice address
506 W Graham Ave Ste 106 Lake Elsinore CA 92530-3665
Phone: (951) 232-3870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1083467856
LBN Legal business name Kennedy, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 10th, 2024
Last updated Apr 12th, 2024 - about 7 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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