Kennedy, Marly
Kennedy, Marly is an individual health care provider with primary practice located at 1975 Mcpherson St Suite 2, North Bend OR 97459-3482. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kennedy, Marly can be contacted via phone (541) 756-2020.Contact Information
Primary practice address
1975 Mcpherson St Suite 2
North Bend OR 97459-3482
Phone: (541) 756-2020
Fax: (541) 756-8982
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 200450131NP | Oregon |
Profile Details
| NPI number | 1801097183 |
|---|---|
| LBN Legal business name | Kennedy, Marly |
| Credentials | PMHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2007 |
| Last updated | Dec 28th, 2018 - about 8 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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