Kennedy, Heather

Kennedy, Heather is an sole proprietor health care provider with primary practice located at 2 Industrial Park Drive Suite E, Waldorf MD 20602. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kennedy, Heather can be contacted via phone (240) 822-2683.

Contact Information

Primary practice address
2 Industrial Park Drive Suite E Waldorf MD 20602
Phone: (240) 822-2683
Fax: (443) 782-3495
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2022009733 Maryland
Nursing Service Providers / Registered Nurse 163W00000X R190030 Maryland

Profile Details

NPI number 1962763912
LBN Legal business name Kennedy, Heather
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2012
Last updated Sep 8th, 2025 - about last year

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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