Kennedy, Kathleen Mary

Kennedy, Kathleen Mary is an individual health care provider with primary practice located at 229-231 State St Broome County Mental Health, Binghamton NY 13901-2756. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Kennedy, Kathleen Mary can be contacted via phone (607) 778-1122.

Contact Information

Primary practice address
229-231 State St Broome County Mental Health Binghamton NY 13901-2756
Phone: (607) 778-1122
Fax: (607) 778-1164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X F320027 New York
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X F401064 New York

Profile Details

NPI number 1568405009
LBN Legal business name Kennedy, Kathleen Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jul 14th, 2010 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1568405009 NPPES
New York MEDICAID 0320F320027

Popular Providers