Kennedy, Kathleen A
Kennedy, Kathleen A is an individual health care provider with primary practice located at 19 Woodland St Ste 35, Hartford CT 06105-2372. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Kennedy, Kathleen A can be contacted via phone (860) 525-1234.Contact Information
Primary practice address
19 Woodland St Ste 35
Hartford CT 06105-2372
Phone: (860) 525-1234
Fax: (860) 278-8782
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 026843 | Connecticut |
Profile Details
| NPI number | 1568455194 |
|---|---|
| LBN Legal business name | Kennedy, Kathleen A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568455194 | NPPES |
| Other | 060052425 | RAILROAD MEDICARE | |
| Other | HAS544 | RAILROAD MEDICARE | |
| MEDICAID | 001268433 | RAILROAD MEDICARE | |
| Other | 0004244738 | RAILROAD MEDICARE | |
| Other | 2083418 | RAILROAD MEDICARE | |
| Other | 00126843301 | RAILROAD MEDICARE | |
| Other | 010026843CT03 | RAILROAD MEDICARE | |
| Other | 708620 | RAILROAD MEDICARE |
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