Kennedy, Patricia T

Kennedy, Patricia T is an individual health care provider with primary practice located at 1800 Buckner St Suite C120, Shreveport LA 71101-4440. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kennedy, Patricia T can be contacted via phone (318) 227-8899.

Contact Information

Primary practice address
1800 Buckner St Suite C120 Shreveport LA 71101-4440
Phone: (318) 227-8899
Fax: (318) 222-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 633673103 Louisiana

Profile Details

NPI number 1972599116
LBN Legal business name Kennedy, Patricia T
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 1st, 2010 - about 14 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 1972599116 NPPES
Louisiana MEDICAID 1564567

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