Kennedy, Kaili

Kennedy, Kaili is an individual health care provider with primary practice located at 7215 Bosque Blvd , Waco TX 76710-4020. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Kennedy, Kaili can be contacted via phone (254) 265-4515.

Contact Information

Primary practice address
7215 Bosque Blvd Waco TX 76710-4020
Phone: (254) 265-4515
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1477160315
LBN Legal business name Kennedy, Kaili
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2020
Last updated Oct 30th, 2021 - about 4 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 1477160315 NPPES
Texas MEDICAID 97034429

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