Kennedy, Mamie

Kennedy, Mamie is an sole proprietor health care provider with primary practice located at 1121 Belleville Ave , Brewton AL 36426-1500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kennedy, Mamie can be contacted via phone (251) 809-3208.

Contact Information

Primary practice address
1121 Belleville Ave Brewton AL 36426-1500
Phone: (251) 809-3208
Fax: (251) 867-5999
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-116711 Alabama

Profile Details

NPI number 1003299074
LBN Legal business name Kennedy, Mamie
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2015
Last updated Jul 8th, 2015 - about 11 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.

Request for update

Popular Providers