Eidenire, Kennedy Ellen

Eidenire, Kennedy Ellen is an individual health care provider with primary practice located at 365 S Hartmann Dr Ste 104 , Lebanon TN 37087-4788. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Eidenire, Kennedy Ellen can be contacted via phone (615) 470-8124.

Contact Information

Primary practice address
365 S Hartmann Dr Ste 104 Lebanon TN 37087-4788
Phone: (615) 470-8124
Fax: (615) 544-2528
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 38446 Tennessee

Profile Details

NPI number 1477354793
LBN Legal business name Eidenire, Kennedy Ellen
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2025
Last updated Nov 21st, 2025 - 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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