Kennedy, Sara Ellen

Kennedy, Sara Ellen is an individual health care provider with primary practice located at 2200 Bergquist Dr Attn: Credentials (Cms), Lackland A F B TX 78236-9908. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kennedy, Sara Ellen can be contacted via phone (210) 292-6115.

Contact Information

Primary practice address
2200 Bergquist Dr Attn: Credentials (Cms) Lackland A F B TX 78236-9908
Phone: (210) 292-6115
Fax: (210) 292-6158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 566098 Texas

Profile Details

NPI number 1235196304
LBN Legal business name Kennedy, Sara Ellen
Credentials Registered Nurse Certified (RNC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Popular Providers