Kennedy, Joanna Ruth
Kennedy, Joanna Ruth is an individual health care provider with primary practice located at 602 E Fort Union Blvd , Midvale UT 84047-2216. 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, Joanna Ruth can be contacted via phone (801) 313-1010.Contact Information
Primary practice address
602 E Fort Union Blvd
Midvale UT 84047-2216
Phone: (801) 313-1010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 73008658900 | Utah |
Profile Details
| NPI number | 1871031708 |
|---|---|
| LBN Legal business name | Kennedy, Joanna Ruth |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 12th, 2017 |
| Last updated | Feb 12th, 2017 - about 7 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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