Kennedy, Susan Dana

Kennedy, Susan Dana is an sole proprietor health care provider with primary practice located at 2 Wild Iris Way , Greensboro NC 27410-4169. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Kennedy, Susan Dana can be contacted via phone (336) 456-7777.

Contact Information

Primary practice address
2 Wild Iris Way Greensboro NC 27410-4169
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X USA.07.2000.H New York

Profile Details

NPI number 1871875716
LBN Legal business name Kennedy, Susan Dana
Credentials REV
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2011
Last updated Sep 16th, 2011 - about 13 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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