Kennedy, Samantha

Kennedy, Samantha is an individual health care provider with primary practice located at 129 Hedin Ave , Red Wing MN 55066-1907. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Kennedy, Samantha can be contacted via phone (651) 212-7429.

Contact Information

Primary practice address
129 Hedin Ave Red Wing MN 55066-1907
Phone: (651) 212-7429
Fax: (507) 446-0431
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1952938896
LBN Legal business name Kennedy, Samantha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2020
Last updated Mar 23rd, 2020 - about 4 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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