Kennedy, Kevin

Kennedy, Kevin is an individual health care provider with primary practice located at 601 E Rollins St , Orlando FL 32803-1248. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Kennedy, Kevin can be contacted via phone (407) 667-0444.

Contact Information

Primary practice address
601 E Rollins St Orlando FL 32803-1248
Phone: (407) 667-0444
Fax: (407) 667-4338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP3327052 Florida

Profile Details

NPI number 1023076411
LBN Legal business name Kennedy, Kevin
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 14th, 2020 - about 6 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 1023076411 NPPES
Florida Other G3322 BCBS
Florida MEDICAID 305639200 BCBS

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