Kennedy, Amanda Renee

Kennedy, Amanda Renee is an individual health care provider with primary practice located at 9500 Euclid Ave # R3 , Cleveland OH 44195-3678. 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, Amanda Renee can be contacted via phone (216) 442-4418.

Contact Information

Primary practice address
9500 Euclid Ave # R3 Cleveland OH 44195-3678
Phone: (216) 442-4418
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 23173 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 17748 Ohio

Profile Details

NPI number 1356726236
LBN Legal business name Kennedy, Amanda Renee
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2015
Last updated Jan 7th, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356726236 NPPES
Ohio Other COA.17748-NP COA FOR STATE OF OHIO BOARD OF NURSING
Ohio MEDICAID 0152679 COA FOR STATE OF OHIO BOARD OF NURSING

Popular Providers