Kennedy, Sheila Z

Kennedy, Sheila Z is an individual health care provider with primary practice located at 820 Harvey Rd Ste E, Auburn WA 98002-4247. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kennedy, Sheila Z can be contacted via phone (253) 939-1066.

Contact Information

Primary practice address
820 Harvey Rd Ste E Auburn WA 98002-4247
Phone: (253) 939-1066
Fax: (253) 939-1069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001095 Washington

Profile Details

NPI number 1083618409
LBN Legal business name Kennedy, Sheila Z
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 28th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083618409 NPPES
Washington MEDICAID 1019082

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