Kennedy, Loreen R.

Kennedy, Loreen R. is an individual health care provider with primary practice located at 593 Eddy St Claverick 2, Providence RI 02903-4923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kennedy, Loreen R. can be contacted via phone (401) 519-1604.

Contact Information

Primary practice address
593 Eddy St Claverick 2 Providence RI 02903-4923
Phone: (401) 519-1604
Fax: (401) 272-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NPP37243 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00316 Rhode Island

Profile Details

NPI number 1093783656
LBN Legal business name Kennedy, Loreen R.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 1st, 2025 - about last year

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 1093783656 NPPES
Rhode Island Other 0070583782 RI MEDICARE
Rhode Island Other 05-12-2011 RI MEDICARE
Rhode Island MEDICAID 7057754 RI MEDICARE
Rhode Island Other 03012011 RI MEDICARE
Rhode Island Other 03032011 RI MEDICARE

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