Kennedy, Katrena U. W.

Kennedy, Katrena U. W. is an individual health care provider with primary practice located at 3288 Moanalua Rd , Honolulu HI 96819-1469. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kennedy, Katrena U. W. can be contacted via phone (808) 432-0000.

Contact Information

Primary practice address
3288 Moanalua Rd Honolulu HI 96819-1469
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD-6446 Hawaii

Profile Details

NPI number 1497842462
LBN Legal business name Kennedy, Katrena U. W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2006
Last updated Oct 12th, 2007 - about 19 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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Identifiers

StateTypeNumberIssuer
All States NPI 1497842462 NPPES
Hawaii MEDICAID 049103-01
Hawaii Other 0000055855

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