Kennedy, Marcia

Kennedy, Marcia is an individual health care provider with primary practice located at 654 N Woodchuck St Ste F , Wichita KS 67212-3571. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kennedy, Marcia can be contacted via phone (316) 371-7226.

Contact Information

Primary practice address
654 N Woodchuck St Ste F Wichita KS 67212-3571
Phone: (316) 371-7226
Fax: (888) 527-4437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 4695 Kansas
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1498 Kansas

Profile Details

NPI number 1376999409
LBN Legal business name Kennedy, Marcia
Credentials LCP, LSCSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2016
Last updated Oct 9th, 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 1376999409 NPPES
Kansas MEDICAID 81-2454443

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