Kennedy, Wren T
Kennedy, Wren T is an sole proprietor health care provider with primary practice located at 1 University Of New Mexico Msc10 5590, Albuquerque NM 87131-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Kennedy, Wren T can be contacted via phone (505) 272-1745.Contact Information
Primary practice address
1 University Of New Mexico Msc10 5590
Albuquerque NM 87131-0001
Phone: (505) 272-1745
Fax: (505) 272-8699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 59810 | Tennessee |
Profile Details
| NPI number | 1689651358 |
|---|---|
| LBN Legal business name | Kennedy, Wren T |
| Credentials | RN/NP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Mar 14th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689651358 | NPPES |
| Tennessee | MEDICAID | 3349537 |
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