Kennedy, Walter

Kennedy, Walter is an individual health care provider with primary practice located at 401 E Vaughn Ave , Ruston LA 71270-5950. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kennedy, Walter can be contacted via phone (318) 254-2100.

Contact Information

Primary practice address
401 E Vaughn Ave Ruston LA 71270-5950
Phone: (318) 254-2100
Fax: (318) 254-2728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN039167 Louisiana

Profile Details

NPI number 1730375288
LBN Legal business name Kennedy, Walter
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2007
Last updated Sep 19th, 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.

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