Kennedy, Kathryn Eloise

Kennedy, Kathryn Eloise is an sole proprietor health care provider with primary practice located at 26800 Crown Valley Pkwy Ste 205 , Mission Viejo CA 92691-6384. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Kennedy, Kathryn Eloise can be contacted via phone (949) 364-3330.

Contact Information

Primary practice address
26800 Crown Valley Pkwy Ste 205 Mission Viejo CA 92691-6384
Phone: (949) 364-3330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 61657 California
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 61657 California

Profile Details

NPI number 1952052433
LBN Legal business name Kennedy, Kathryn Eloise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2022
Last updated Oct 14th, 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.

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