Kennedy, Katherine A
Kennedy, Katherine A is an individual health care provider with primary practice located at 1800 Tree Ln Ste 300 , Snellville GA 30078-6794. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Kennedy, Katherine A can be contacted via phone (770) 972-6464.Contact Information
Primary practice address
1800 Tree Ln Ste 300
Snellville GA 30078-6794
Phone: (770) 972-6464
Fax: (770) 978-4819
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002027 | Georgia |
Profile Details
| NPI number | 1902864747 |
|---|---|
| LBN Legal business name | Kennedy, Katherine A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 2nd, 2006 |
| Last updated | Jul 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902864747 | NPPES |
| Georgia | MEDICAID | 003152721A |
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