Kennelly, Michael Steven

Kennelly, Michael Steven is an individual health care provider with primary practice located at 145 Hospital Ave Ste 113 , Du Bois PA 15801-1463. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kennelly, Michael Steven can be contacted via phone (814) 375-3015.

Contact Information

Primary practice address
145 Hospital Ave Ste 113 Du Bois PA 15801-1463
Phone: (814) 375-3015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X SP026537 Pennsylvania

Profile Details

NPI number 1508573353
LBN Legal business name Kennelly, Michael Steven
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2022
Last updated Nov 1st, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508573353 NPPES
Pennsylvania Other SP026537 PENNSYLVANIA STATE NURSE PRACTITIONER LICENSE

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