Kennedy, Shannon Rene'

Kennedy, Shannon Rene' is an individual health care provider with primary practice located at 400 Rosalind Redfern Grover Pkwy , Midland TX 79701-5846. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Kennedy, Shannon Rene' can be contacted via phone (432) 221-1111.

Contact Information

Primary practice address
400 Rosalind Redfern Grover Pkwy Midland TX 79701-5846
Phone: (432) 221-1111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 722924 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 1014885 Texas
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1014885 Texas

Profile Details

NPI number 1700474541
LBN Legal business name Kennedy, Shannon Rene'
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2021
Last updated Apr 29th, 2021 - about 3 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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