Kennedy, Mary Sloan

Kennedy, Mary Sloan is an individual health care provider with primary practice located at 3400 Wake Forest Rd , Raleigh NC 27609-7317. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Kennedy, Mary Sloan can be contacted via phone (919) 954-3765.

Contact Information

Primary practice address
3400 Wake Forest Rd Raleigh NC 27609-7317
Phone: (919) 954-3765
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 70096 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 070096 North Carolina

Profile Details

NPI number 1285602326
LBN Legal business name Kennedy, Mary Sloan
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 28th, 2016 - about 10 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 1285602326 NPPES
North Carolina Other 1285602326 TRICARE
North Carolina Other 4113807 TRICARE
North Carolina MEDICAID 3635537 TRICARE
North Carolina MEDICAID 1285602326 TRICARE

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