Kennedy, Andrea M

Kennedy, Andrea M is an sole proprietor health care provider with primary practice located at 1700 Medical Way , Snellville GA 30078-2195. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Kennedy, Andrea M can be contacted via phone (770) 979-0200.

Contact Information

Primary practice address
1700 Medical Way Snellville GA 30078-2195
Phone: (770) 979-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X Georgia
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 175866 Georgia

Profile Details

NPI number 1083120588
LBN Legal business name Kennedy, Andrea M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2017
Last updated Dec 27th, 2021 - about 5 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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