Kennedy, Marie D.

Kennedy, Marie D. is an individual health care provider with primary practice located at 2675 Central Ave , Billings MT 59102-6686. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Kennedy, Marie D. can be contacted via phone (406) 238-2500.

Contact Information

Primary practice address
2675 Central Ave Billings MT 59102-6686
Phone: (406) 238-2500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 159 Montana
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MED-PAC-LIC-159 Montana

Profile Details

NPI number 1881780807
LBN Legal business name Kennedy, Marie D.
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 14th, 2021 - about 3 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 1881780807 NPPES
Montana Other 000091603 BCBS PIN
Montana Other 0432769 BCBS PIN

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