Kennedy, Christie Elaine

Kennedy, Christie Elaine is an individual health care provider with primary practice located at 368 Ne Franklin St , Lake City FL 32055. 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, Christie Elaine can be contacted via phone (386) 292-8001.

Contact Information

Primary practice address
368 Ne Franklin St Lake City FL 32055
Phone: (386) 292-8001
Fax: (386) 292-8002
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9171598 Florida

Profile Details

NPI number 1912179227
LBN Legal business name Kennedy, Christie Elaine
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2008
Last updated Jun 27th, 2018 - about 8 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 1912179227 NPPES
Florida MEDICAID 309119800

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