Kennedy, Brooke

Kennedy, Brooke is an individual health care provider with primary practice located at 501 Dr Michael Debakey Dr , Lake Charles LA 70601-5724. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Brooke can be contacted via phone (337) 419-1958.

Contact Information

Primary practice address
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724
Phone: (337) 419-1958
Fax: (337) 419-1947
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN104229 AP04899 Louisiana

Profile Details

NPI number 1487693644
LBN Legal business name Kennedy, Brooke
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Aug 18th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487693644 NPPES
Louisiana MEDICAID 1706329

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