Kennedy, Susanne Michelle

Kennedy, Susanne Michelle is an individual health care provider with primary practice located at 58967 Business Center Dr Suites C,D, Yucca Valley CA 92284-7308. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Kennedy, Susanne Michelle can be contacted via phone (760) 369-3130.

Contact Information

Primary practice address
58967 Business Center Dr Suites C,D Yucca Valley CA 92284-7308
Phone: (760) 369-3130
Fax: (760) 365-2695
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1497101844
LBN Legal business name Kennedy, Susanne Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2016
Last updated May 4th, 2016 - about 9 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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