Kennedy, Lisa

Kennedy, Lisa is an individual health care provider with primary practice located at 5050 Poplar Ave Suite 800, Memphis TN 38157-0101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is her primary health care specialty. Kennedy, Lisa can be contacted via phone (901) 276-2662.

Contact Information

Primary practice address
5050 Poplar Ave Suite 800 Memphis TN 38157-0101
Phone: (901) 276-2662
Fax: (901) 274-1871
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 19977 Tennessee
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 19977 Tennessee

Profile Details

NPI number 1629059712
LBN Legal business name Kennedy, Lisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 17th, 2020 - about 5 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 1629059712 NPPES
Tennessee MEDICAID 3082385

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