Kennedy, Mary E.

Kennedy, Mary E. is an individual health care provider with primary practice located at 108 New London Tpke , Norwich CT 06360-2645. 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, Mary E. can be contacted via phone (860) 889-3052.

Contact Information

Primary practice address
108 New London Tpke Norwich CT 06360-2645
Fax: (860) 889-0926
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 002801 Connecticut

Profile Details

NPI number 1669518635
LBN Legal business name Kennedy, Mary E.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Mar 7th, 2023 - about last year

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 1669518635 NPPES
Connecticut Other 002801 APRN LICENSE NUMBER

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