Kennedy, Linda T
Kennedy, Linda T is an sole proprietor health care provider with primary practice located at 509 11Th St Suite A, Las Vegas NM 87701-3958. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kennedy, Linda T can be contacted via phone (505) 425-3155.Contact Information
Primary practice address
509 11Th St Suite A
Las Vegas NM 87701-3958
Phone: (505) 425-3155
Fax: (505) 425-3155
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0861 | New Mexico |
Profile Details
| NPI number | 1396856258 |
|---|---|
| LBN Legal business name | Kennedy, Linda T |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Mar 31st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396856258 | NPPES |
| New Mexico | MEDICAID | 76071235 |
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