Kennedy, Laura Lisbeth

Kennedy, Laura Lisbeth is an individual health care provider with primary practice located at 12040 S Lakes Dr , Reston VA 20191-1246. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennedy, Laura Lisbeth can be contacted via phone (703) 464-0686.

Contact Information

Primary practice address
12040 S Lakes Dr Reston VA 20191-1246
Phone: (703) 464-0686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001232629 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024173863 Virginia

Profile Details

NPI number 1760938161
LBN Legal business name Kennedy, Laura Lisbeth
Credentials RN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2016
Last updated Apr 4th, 2018 - about 6 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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