Kennedy, Avery Imara
Kennedy, Avery Imara is an individual health care provider with primary practice located at 2200 Grande Blvd Se Ste B , Rio Rancho NM 87124-1695. 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. Kennedy, Avery Imara can be contacted via phone (505) 218-6383.Contact Information
Primary practice address
2200 Grande Blvd Se Ste B
Rio Rancho NM 87124-1695
Phone: (505) 218-6383
Fax: (505) 636-6338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 68503 | New Mexico |
Profile Details
| NPI number | 1851586358 |
|---|---|
| LBN Legal business name | Kennedy, Avery Imara |
| Credentials | APRN, BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2007 |
| Last updated | Mar 22nd, 2024 - about 2 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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