Shields, Kennedy Marie

Shields, Kennedy Marie is an individual health care provider with primary practice located at 1008 Main Strret , Kokhanok AK 99606-9998. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Shields, Kennedy Marie can be contacted via phone (907) 282-2203.

Contact Information

Primary practice address
1008 Main Strret Kokhanok AK 99606-9998
Phone: (907) 282-2203
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1649026063
LBN Legal business name Shields, Kennedy Marie
Credentials CHAP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2024
Last updated Apr 26th, 2024 - about last year

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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