Kennedy, Kinnari

Kennedy, Kinnari is an sole proprietor health care provider with primary practice located at 19415 Deerfield Avenue, Suite 112 , Leesburg VA 20176-8470. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Kennedy, Kinnari can be contacted via phone (703) 724-1195.

Contact Information

Primary practice address
19415 Deerfield Avenue, Suite 112 Leesburg VA 20176-8470
Phone: (703) 724-1195
Fax: (703) 724-4495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MT210270 Pennsylvania
Allopathic & Osteopathic Physicians / Urology 208800000X 0101271958 Virginia

Profile Details

NPI number 1952763435
LBN Legal business name Kennedy, Kinnari
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 24th, 2016
Last updated Oct 9th, 2023 - about last year

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 1952763435 NPPES
Virginia MEDICAID 30016381720001
Virginia MEDICAID 1952763435

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