Kennedy, Olga Vladimirovna
Kennedy, Olga Vladimirovna is an individual health care provider with primary practice located at 4420 76Th St Ne , Marysville WA 98270-3726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kennedy, Olga Vladimirovna can be contacted via phone (360) 651-7490.Contact Information
Primary practice address
4420 76Th St Ne
Marysville WA 98270-3726
Phone: (360) 651-7490
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01061208A | Indiana |
Profile Details
| NPI number | 1699742122 |
|---|---|
| LBN Legal business name | Kennedy, Olga Vladimirovna |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 3rd, 2006 |
| Last updated | Aug 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699742122 | NPPES |
| Washington | MEDICAID | 2021752 |
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