Kennelly, Kathryn Irene
Kennelly, Kathryn Irene is an individual health care provider with primary practice located at 617 E 16Th St , Plano TX 75074-5726. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennelly, Kathryn Irene can be contacted via phone (972) 423-8110.Contact Information
Primary practice address
617 E 16Th St
Plano TX 75074-5726
Phone: (972) 423-8110
Fax: (972) 423-1699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | F0804014 | Texas |
Profile Details
| NPI number | 1013971258 |
|---|---|
| LBN Legal business name | Kennelly, Kathryn Irene |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Feb 26th, 2014 - about 10 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 | 1013971258 | NPPES |
| Texas | MEDICAID | 169741902 |
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