Kennedy, Latanya Renee

Kennedy, Latanya Renee is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Kennedy, Latanya Renee can be contacted via phone (773) 702-1000.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Phone: (773) 702-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 364SA2200X 209007058 Illinois

Profile Details

NPI number 1902069032
LBN Legal business name Kennedy, Latanya Renee
Credentials DNP, MSN, RN,ACNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2008
Last updated Jan 16th, 2014 - about 12 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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