Kennedy, Marly

Kennedy, Marly is an individual health care provider with primary practice located at 1975 Mcpherson St Suite 2, North Bend OR 97459-3482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kennedy, Marly can be contacted via phone (541) 756-2020.

Contact Information

Primary practice address
1975 Mcpherson St Suite 2 North Bend OR 97459-3482
Phone: (541) 756-2020
Fax: (541) 756-8982
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 200450131NP Oregon

Profile Details

NPI number 1801097183
LBN Legal business name Kennedy, Marly
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Dec 28th, 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.

Request for update

Popular Providers