Kennedy, Kayla Nicole

Kennedy, Kayla Nicole is an individual health care provider with primary practice located at 22 Pine St Suite 104, Bristol CT 06010-6948. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kennedy, Kayla Nicole can be contacted via phone (860) 584-8291.

Contact Information

Primary practice address
22 Pine St Suite 104 Bristol CT 06010-6948
Phone: (860) 584-8291
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X Connecticut

Profile Details

NPI number 1467801605
LBN Legal business name Kennedy, Kayla Nicole
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2016
Last updated Jun 8th, 2016 - about 9 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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