Kennedy, Erin Marie

Kennedy, Erin Marie is an sole proprietor health care provider with primary practice located at 3203 Broadway St , Pearland TX 77581-1414. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Kennedy, Erin Marie can be contacted via phone (281) 485-8876.

Contact Information

Primary practice address
3203 Broadway St Pearland TX 77581-1414
Phone: (281) 485-8876
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X K3915 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X K3915 Texas

Profile Details

NPI number 1518967652
LBN Legal business name Kennedy, Erin Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Jun 2nd, 2015 - about 11 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 1518967652 NPPES
Texas MEDICAID 154523801

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