Kennedy, Bernard V

Kennedy, Bernard V is an individual health care provider with primary practice located at 700 S Park St Dean Medical Center, Madison WI 53715-1830. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Kennedy, Bernard V can be contacted via phone (608) 258-6975.

Contact Information

Primary practice address
700 S Park St Dean Medical Center Madison WI 53715-1830
Phone: (608) 258-6975
Fax: (608) 258-5222
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 543-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 543-023 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 543 Wisconsin

Profile Details

NPI number 1629051446
LBN Legal business name Kennedy, Bernard V
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 25th, 2005
Last updated Dec 15th, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1629051446 NPPES
Wisconsin MEDICAID 1629051446

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