Kennedy, Kristi A

Kennedy, Kristi A is an individual health care provider with primary practice located at 1485 Jesse Jewell Pkwy Ne Suite 200, Gainesville GA 30501-3806. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kennedy, Kristi A can be contacted via phone (770) 534-5255.

Contact Information

Primary practice address
1485 Jesse Jewell Pkwy Ne Suite 200 Gainesville GA 30501-3806
Phone: (770) 534-5255
Fax: (770) 287-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN122165 Georgia

Profile Details

NPI number 1326178468
LBN Legal business name Kennedy, Kristi A
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Jun 19th, 2012 - about 12 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 1326178468 NPPES
Georgia MEDICAID 000883077C
Georgia MEDICAID 00883077A

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