Kennedy, Madeleine O.
Kennedy, Madeleine O. is an individual health care provider with primary practice located at 455 Philip Blvd Ste 200 , Lawrenceville GA 30046-8766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Kennedy, Madeleine O. can be contacted via phone (770) 363-6096.Contact Information
Primary practice address
455 Philip Blvd Ste 200
Lawrenceville GA 30046-8766
Phone: (770) 363-6096
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | RN173803 | Georgia |
Profile Details
| NPI number | 1932612538 |
|---|---|
| LBN Legal business name | Kennedy, Madeleine O. |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2017 |
| Last updated | Nov 6th, 2017 - about 8 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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