Kennedy, Kindra Michelle

Kennedy, Kindra Michelle is an individual health care provider with primary practice located at 21235 Garcia Rd , Bend OR 97701-8065. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Kennedy, Kindra Michelle can be contacted via phone (541) 480-8689.

Contact Information

Primary practice address
21235 Garcia Rd Bend OR 97701-8065
Phone: (541) 480-8689
Fax: (541) 205-4885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X DEM-LD-10156590 Oregon

Profile Details

NPI number 1649598681
LBN Legal business name Kennedy, Kindra Michelle
Credentials CPM, LDM, IBCLC
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2010
Last updated Apr 28th, 2016 - about 10 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 1649598681 NPPES
Oregon MEDICAID 500667822

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