Kennedy, Jacy L

Kennedy, Jacy L is an individual health care provider with primary practice located at 1207 N Jefferson St Ste 1 , Ottumwa IA 52501-2021. 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, Jacy L can be contacted via phone (641) 682-5437.

Contact Information

Primary practice address
1207 N Jefferson St Ste 1 Ottumwa IA 52501-2021
Phone: (641) 682-5437
Fax: (641) 682-1628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A155098 Iowa

Profile Details

NPI number 1134780968
LBN Legal business name Kennedy, Jacy L
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2019
Last updated Jun 24th, 2019 - about 7 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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