Kennedy, Rae L

Kennedy, Rae L is an individual health care provider with primary practice located at 670 Cherry Dr Ste 202/204, Hershey PA 17033-2003. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Kennedy, Rae L can be contacted via phone (800) 233-4082.

Contact Information

Primary practice address
670 Cherry Dr Ste 202/204 Hershey PA 17033-2003
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD427432 Pennsylvania

Profile Details

NPI number 1114981206
LBN Legal business name Kennedy, Rae L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Feb 4th, 2022 - about 2 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 1114981206 NPPES
Pennsylvania MEDICAID 1013999740001

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