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
Phone: (860) 889-3052
Fax: (860) 889-0926
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669518635 | NPPES |
Connecticut | Other | 002801 | APRN LICENSE NUMBER |
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